As a payer, we have chosen to adopt CPT ciode 11981 for the On-Q pain pump. My question is this; How did Cigna communicate to you as a provider that they required this code when billing an On-Q? As a rule, we don't tell our providers how to bill, however, if there is a way to communicate this to our network of providers, I would be most grateful for any direction anyone can give. Thanks for your help!!!We have been told by the On-Q rep to use unlisted codes. For example, if we place an On-Q with an inguinal hernia repair we would bill 49999 for the pain pump. Most insurance companies will pend the claim for review. It took an average of 45 days to get the claim paid. Cigna has advised us that 11981 is more appropriate than an unlisted code. Needless to say we are billing 11981 to Cigna.
Thanks for your reply. I have researched these codes. I don't think any of these would be what I am looking for. My physicians use this pump with abdominal surgeries and state it was placed in the "preperitoneal space". I didn't see any mentioned above that would fit that description.Here are the codes that are used for the pump inserts
64416 – brachial plexus
64446 – sciatic nerve
64448 – femoral nerve
64449 – lumbar plexus
76942 – ultrasound guided (different revenue code) (no separate payment, it is included in codes above