Results 1 to 4 of 4

Coding for Epidural Depo-dur and Spinal

  1. Default Coding for Epidural Depo-dur and Spinal
    Medical Coding Books
    I am just wondering how some of you are coding for this. I have some Anesthesologists who are performing the Epidural for the Depo-dur in the holding room and then later go to the OR and do a spinal. I know if there are two seperate catheters and different sites involed, I can bill for both services.

    But what I am questioning is what are you doing for the post op pain management? My doctors will follow the patient for the next 48 hours. What are you billing if anything?

    Thanks for your help.

    Alicia, CPC

  2. #2
    If I'm understanding correctly, the epidural is left in postop and your docs are rounding on it for 48 hours. If the epidural is infusing and the rounds are documented you can bill 01996 1x each day after the initial date of placement.

    Julie, CPC

  3. Default Epidural Depo-dur and Spinal
    From what I understand Depo-Dur is a single shot that they put through the epidural. It is not infusing. But it requies 48 hours of monitoring. Could you bill an inpatient subsequent visit for that 48 hours? Our doctors are doing this for total knee replacement surgeries.

    Alicia, CPC

  4. #4
    Yes you could, however, make sure your documentation supports a 99231 (2 or 3 elements). Also confirm your doctors are managing the postop pain per the surgeon's request and this is not just a standing order.

    Julie, CPC

Similar Threads

  1. Spinal/Epidural Combinations
    By amieelyn2001 in forum Anesthesia
    Replies: 5
    Last Post: 02-25-2016, 02:29 PM
  2. Epidural/Spinal for Labor/Delivery
    By jdibble in forum Anesthesia
    Replies: 4
    Last Post: 10-27-2010, 11:14 AM
  3. spinal puncture with epidural injection
    By claudiak in forum Interventional Radiology
    Replies: 1
    Last Post: 12-10-2008, 12:16 PM
  4. spinal puncture and epidural blood patch
    By claudiak in forum General Surgery
    Replies: 0
    Last Post: 12-04-2008, 10:16 AM
  5. Labor Epidural & Spinal
    By enancy79 in forum Anesthesia
    Replies: 1
    Last Post: 11-04-2008, 10:23 PM

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.