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Wiki Billing CPT 36410

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JCampbell

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Happy New Year!

Can anyone help me with cpt code 36410? Can this code be billed by a CRNA if the nurse requests that it be performed by a CRNA due to the patient being a hard stick?

Thanks for any help that you may be able to provide.

Jennifer
 
I believe nurse qualifies. Must be medically necessary not that a suitable provider is not available (I know some MDs who think they can bill it just because they don't have a medical assistant on staff)
 
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I don't think this will work with a nurse order since nurses are not able to order tests or studies. I believe a physician will need to establish medical necessity for anesthesia to perform this function. We always had a physician evaluate this befor anesthesia was called in. Most of the time the payers would make this a patient responsibility and we would need to appeal with the physician documentation.
 
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