Lovethepaws
New
Hello,
Below is part of a pain management procedure for stellate block and an IV regional block. My question is----should I be coding all of the "drugs" administered for the procedure? Since reimbursement isn't much for these drugs, the provider isn't worried about them being listed on the claim. I have a headache just thinking about this one. Any and all help is greatly appreciated.
Ex: using 2 mg of Versed and 10 mg of ketamine.
bupivacaine with 2 mg of Decadron was injected at this location.
50 cc of 0.5% lidocaine with 100 mcg of clonidine and 50 mg of Toradol
Procedure Note
Procedures:
1. Right stellate ganglion block.
2. Right upper extremity IV regional block.
Indication: CRPS.
Time Out: The patient’s name, site of procedure, allergies and anticoagulation status were checked and verified.
The patient was taken to the procedure room where he assumed supine position. The skin over the right side of the neck was prepped with ChloraPrep. Sterile drapes were placed. He had a 22-gauge IV started in the right upper extremity. IV sedation was provided using 2 mg of Versed and 10 mg of ketamine. Using a 22-gauge 3.5-inch needle, the junction between the C7 vertebral body and the uncinate process was accessed on the right side. Needle position at this location was confirmed by injection of 3 cc of Omnipaque-240 which revealed linear spread of the contrast along the longissimus coli muscle. 3 cc of 0.5% bupivacaine with 2 mg of Decadron was injected at this location.
At this point, the right upper extremity was exsanguinated using an Esmarch bandage. A right upper arm tourniquet was applied and inflated to 250 mmHg. 50 cc of 0.5% lidocaine with 100 mcg of clonidine and 50 mg of Toradol was injected through the IV in the right hand. The tourniquet was kept inflated for 30 minutes. Following deflation of the tourniquet, he was observed for approximately 20 minutes and was discharged home in stable condition. He is advised to return back to clinic in about a week for a repeat block. Total time spent on IV conscious sedation was 32 minutes.
Below is part of a pain management procedure for stellate block and an IV regional block. My question is----should I be coding all of the "drugs" administered for the procedure? Since reimbursement isn't much for these drugs, the provider isn't worried about them being listed on the claim. I have a headache just thinking about this one. Any and all help is greatly appreciated.
Ex: using 2 mg of Versed and 10 mg of ketamine.
bupivacaine with 2 mg of Decadron was injected at this location.
50 cc of 0.5% lidocaine with 100 mcg of clonidine and 50 mg of Toradol
Procedure Note
Procedures:
1. Right stellate ganglion block.
2. Right upper extremity IV regional block.
Indication: CRPS.
Time Out: The patient’s name, site of procedure, allergies and anticoagulation status were checked and verified.
The patient was taken to the procedure room where he assumed supine position. The skin over the right side of the neck was prepped with ChloraPrep. Sterile drapes were placed. He had a 22-gauge IV started in the right upper extremity. IV sedation was provided using 2 mg of Versed and 10 mg of ketamine. Using a 22-gauge 3.5-inch needle, the junction between the C7 vertebral body and the uncinate process was accessed on the right side. Needle position at this location was confirmed by injection of 3 cc of Omnipaque-240 which revealed linear spread of the contrast along the longissimus coli muscle. 3 cc of 0.5% bupivacaine with 2 mg of Decadron was injected at this location.
At this point, the right upper extremity was exsanguinated using an Esmarch bandage. A right upper arm tourniquet was applied and inflated to 250 mmHg. 50 cc of 0.5% lidocaine with 100 mcg of clonidine and 50 mg of Toradol was injected through the IV in the right hand. The tourniquet was kept inflated for 30 minutes. Following deflation of the tourniquet, he was observed for approximately 20 minutes and was discharged home in stable condition. He is advised to return back to clinic in about a week for a repeat block. Total time spent on IV conscious sedation was 32 minutes.