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ASA for lumber epidural steroid injections

  1. #1
    Default ASA for lumbar epidural steroid injections
    Medical Coding Books
    If a patient has anesthesia performed by an anesthesiologist or CRNA for a lumbar ESI that is performed by another physician, has anyone ever heard of coding 00630 for the anesthesia?
    Last edited by non236; 01-23-2009 at 06:38 PM.

  2. #2
    Default
    No, I have not ever billed this procedure as an 00630. If anesthesia is being performed (not conscious sedation) then the correct ASA code would be 01991 or 01992 depending on patient positioning.

    Julie, CPC

  3. #3
    Default
    Thanks so much. Could you tell me also when billing modifiers for MAC in a case such as this would you bill the QS modifier last after the appropriate anesthesia modifier and physical status modifier, for example 01992 AA P2 QS?

  4. #4
    Default
    Yes, that is the order I would put the modifiers EXCEPT in the case of Medicare. Medicare wants the QS modifier in the second position.

    Julie, CPC

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