AAPC - Back to school
Results 1 to 2 of 2

Thread: Documentation requirements for 01996

  1. #1
    Join Date
    Apr 2007
    St Louis East Missouri

    Smile Documentation requirements for 01996

    AAPC: Back to School
    Does anyone know the Medicare documentation requirements for a physician performing epidural daily management 01996? And, if you could point me to the policy online. Thanks.
    Melissa Smith CPC, CPB
    2014 Member Development Officer
    2013 President
    2012 Vice-President
    St Louis East Missouri Chapter

  2. #2
    Join Date
    Apr 2007
    Lincoln, NE


    I saw this in the Anesthesia threads last week and was hopeful someone would respond saying yes I have and here they are.....no such luck. So here's what I know.

    I've been billing anesthesia for 18 years and have never seen industry wide 01996 documentation guidelines. The only documentation I have ever found is within our BCBS of Nebraska billing guidelines stating the service should be documented in the progress notes but it states nothing of the required content of the documentation.

    My providers use an Acute Pain Record form to indicate charges (each form has 10 lines for 10 days of rounds - a second form can be started if, on the rare occasion, an epidural is left intact beyond 10 days) and actually document the "pain round" hand written in the progress notes. This acute pain record is then checked against the chart in the electronic medical record to confirm documentation of each round.

    Julie, CPC
    Last edited by jdrueppel; 11-24-2008 at 07:00 PM.

Similar Threads

  1. Documentation requirements
    By m.matos@chcfl.com in forum Auditing General Discussion
    Replies: 2
    Last Post: 02-02-2015, 12:30 PM
  2. Documentation requirements
    By mcohen in forum OB/GYN
    Replies: 0
    Last Post: 06-04-2013, 10:24 AM
  3. E/M Documentation Requirements
    By kristinab in forum E/M
    Replies: 1
    Last Post: 05-19-2011, 07:28 AM
  4. Documentation Requirements
    By rizeninme in forum Compliance General Discussion
    Replies: 1
    Last Post: 12-30-2010, 03:58 PM
  5. Documentation for 01996
    By mray32 in forum Anesthesia
    Replies: 0
    Last Post: 11-20-2008, 09:34 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.