Wiki Second request... Pain management

[sriggle]

Really need help on this please SECOND REQUEST...

Original question..


"If a orthopedic surgeon places a pain line intraoperative, but the anesthesiolgist is the one to manage the pain after surgery. Who would bill for that? The surgeon or the anesthesiologist?"

I asked this question to our coding compliance department. This is the answer I got..

"If the code for the placement includes daily monitoring then they should both bill, the surgeon with mod 54 & the anesthesiologist with a mod 55. If it does not include for the daily monitoring then the surgeon would bill for the placement and the anesthesiologist should bill using E/M codes if there is not a monitoring only code."

I dont really agree with this. But I would like others opinions. Thank you...

 

[cceegardner]

We do not bill for lines placed by the surgeon. We bill for our anesthesiologist only when they management the pain after surgery. That is the determination by our compliance department.

 

[ivorytofu@hotmail.com]

the ortho surgeon would bil for the line placement.
the anesthesiologist would then bill for the management.