Results 1 to 4 of 4

Daily Management Of Epidural

  1. #1
    Default Daily Management Of Epidural
    Medical Coding Books
    I am fairly new to billing anesthesia. I have a CRNA that performed a daily management of an epidural. I have tried to bill one unit per day for CPT 01996. However, the clearing house indicates Medicare is still requesting minutes and units over 1. Please advise..... I read the code as daily which would be a unit of one per day, but I am being instructed otherwise. Any help would be greatly appreciated. Thank You!

  2. #2
    That code should be one unit and only one unit can be charged per day but it should not have any modifier like QZ etc.... In my state, Ohio, Medicare does not cover that code when done by a CRNA even though they cover the anesthesia service for the surgery which requires the placement of the epidural cath and management of the pain when preformed by a CRNA. They do not deny it but rather reject the claim stating "invalid procedure code." In this state, they also do not cover 62318 or 62319 for post op pain management when done by a CRNA and it cannot be billed "incident to." You can imagine how angry the Anesthesiologists are about that. You should check with your carrier to see what the local rules are on CRNAs. Sometimes they are limited by the "scope of practice" in some states. Best of luck.
    Holly M.

  3. #3
    Default OK...this is how we do it
    I bill for Arkansas and we aren't allowed to bill using a CRNA for epidural management. But this example may help...when we bill for Medicaid, they require what you're stating Medicare requires in your state. We place a P1 modifier, 15 minutes of time and 03 (Epidural) for the method. That should make the units over 1.

  4. Default
    I live in kentucky and i work for pain management--when i bill for daily management to m'care/m'caid i dont have any problems using 01996- but of course even though the dr i work for is a anes. his credentials is for pain management

Similar Threads

  1. 64416 & Daily Pain Management
    By LisaAlonso23 in forum Anesthesia
    Replies: 3
    Last Post: 03-19-2015, 07:22 AM
  2. ECMO Daily Management
    By Tvuong in forum Cardiology
    Replies: 1
    Last Post: 03-04-2015, 01:43 PM
  3. 01996 daily management code
    By in forum Anesthesia
    Replies: 3
    Last Post: 11-22-2013, 04:30 PM
  4. daily epidural
    By BrandiF in forum Anesthesia
    Replies: 1
    Last Post: 06-10-2011, 10:51 PM
  5. Daily infusion of Epidural cath in an office
    By Adrianne in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 03-02-2009, 01:37 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.