We are seeing a trend in denied anesthesia charges for US DOL work comp for CPT codes: 01402 Mod QK and QX, they insist these codes are included in the surgical global package payment, even though the anesthesia providers are a complete separate specialty. (We know the units in authorization have to include number to cover anesthesia, in addition to surgeon, assistant, facility, etc). In general US DOL WC does not follow standard coding practices, as they require the initial injury approved diagnosis code on their records to be listed as the primary diagnosis code for all charge codes billed related to the injury, regardless of whether the note for that date/service supports the original approved injury dx code.
Additionally, separate services for post-surgical pain control 76942, 64999, 64447 even though separately ordered and completed by separate anesthesiologist are denied.
Looking to network with Anesthesia billing/coding staff to get feedback and others experiences on this and any success stories and information.
Additionally, separate services for post-surgical pain control 76942, 64999, 64447 even though separately ordered and completed by separate anesthesiologist are denied.
Looking to network with Anesthesia billing/coding staff to get feedback and others experiences on this and any success stories and information.