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Steroid Epidural for Pain Management

  1. Default Steroid Epidural for Pain Management
    Medical Coding Books
    Does anyone know how to apply the order for a steroid epidural in the decision making portion of the 95 E/M auditing tool?

    My provider has ordered an epidural for pain management during an office visit. I am auditing the visit to determine the appropriate level but don't know where the epidural falls in the medical decision making area of the audit tool. Is it considered an elective major surgery with no identified risk factors? We do the epidurals in the office.

    I would appreciate any help with this!!!

  2. #2
    Location
    Baton Rouge
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    Default
    Quote Originally Posted by kristincoder View Post
    Does anyone know how to apply the order for a steroid epidural in the decision making portion of the 95 E/M auditing tool?

    My provider has ordered an epidural for pain management during an office visit. I am auditing the visit to determine the appropriate level but don't know where the epidural falls in the medical decision making area of the audit tool. Is it considered an elective major surgery with no identified risk factors? We do the epidurals in the office.

    I would appreciate any help with this!!!
    I put it in the Elective Major surgery with no Ident. Risk Factors. I haven't seen any written guidance on this, just using my judgment.
    Meagan Strauss, CPC, CEMC
    Coding Coordinator
    The NeuroMedical Center
    Baton Rouge, LA

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