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.
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