Anesthesia/Post Op Pain nerve blocks

mhoops

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Anesthesia Post-Op Pain question....our providers are now doing a different nerve block on some knee and shoulder replacements. On saphenous/femoral nerve blocks instead of just injecting a nerve once (64447), they are inserting a catheter as they would for a continuous infusion (64448) but since they do not have the pump yet for a continuous infusion they are just injecting the med through the catheter. Then they have gone back approximately every 12 hrs (or as needed for pain control) and done a follow up (bolus) injection through the catheter. How would you code that?
 

wmehlhaff

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As long as there is documentation showing that they followed with the patient and managed that epidural, you can bill 99231 once daily for follow up on that femoral catheter. Cannot be billed the same date the catheter was placed.
 
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