Results 1 to 7 of 7

Thread: Post Op Pain

  1. #1

    Default Post Op Pain

    Promo: Code Books
    How would you bill ultrasound guided popliteal blocks by a CRNA while the anesthesia for the procedure is performed by a different CRNA, he would also like to bill for the medication. What documentation is required for 76942 (professional component). I'm leaning toward 64450-59 76942-26 and J3490 What suggestions /corrections do you have for this situation. Thanks.
    IBA_Anes_Billing_(NER*CPC)

  2. #2
    Join Date
    Apr 2007
    Location
    Lincoln, NE
    Posts
    435

    Default

    If the block is not being used as the mode of anesthesia I would bill:
    64445-59 (single injection popliteal block) OR 64446-59 (continuous)
    76942-26 MUST save image and have clear documentation of ultrasound "interpretation"

    I'm not sure of the rationale for billing J3490 - what unclassified drug are you supplying??

    Of note, we have had some Medicare payment issues when 76942 is billed by CRNA. Medicare has denied most as not billable by CRNA provider specialty.

    Julie, CPC

  3. #3
    Join Date
    Apr 2007
    Location
    Minneapolis
    Posts
    201

    Default

    Not to go off on a different topic, but we have had the same issue with 76942 being denied by Medicare when done by a CRNA. Does anyone know where or if this can be found on Medicare's website?
    Missy Heuer CPC, CANPC

  4. #4

    Default

    This provider is using propofol in the injection. Is there a better code for this? I'd be interested in know if others are having difficulty getting paid for these codes from commerical payers for services provided by a CRNA.
    IBA_Anes_Billing_(NER*CPC)

  5. #5
    Join Date
    Apr 2007
    Location
    Lincoln, NE
    Posts
    435

    Default

    Are you coding this service in an office or facility setting? I still trying to rationalize the need to code for the propofol.

    Julie, CPC

  6. #6

    Default

    This was a situation posed to me by a potential client. I believe his services were provided in an ambulatory surgery center facility.
    IBA_Anes_Billing_(NER*CPC)

  7. #7
    Join Date
    Apr 2007
    Location
    Lincoln, NE
    Posts
    435

    Default

    If billing for the CRNA professional service(s) the propofol is not separately billable. I don't do ASC billing so I'm unsure if it's billable by the ASC (facility) and you may want to pose this question under the ASC forum if you are billing for the facility.

    Julie, CPC

Similar Threads

  1. Post OP pain
    By pajohnson in forum Anesthesia
    Replies: 1
    Last Post: 04-25-2014, 02:04 PM
  2. post op pain
    By ggparker14 in forum Diagnosis Coding
    Replies: 2
    Last Post: 04-23-2012, 05:11 PM
  3. ASCs Bill Pre-Op Pain Block for Post-Op Pain?
    By brendaday in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 10-14-2010, 08:40 AM
  4. Post op pain control
    By lorismack in forum Orthopaedics
    Replies: 2
    Last Post: 10-01-2010, 03:23 PM
  5. On-Q Pain catheter for post-op pain
    By diann in forum Outpatient Facilities
    Replies: 0
    Last Post: 09-08-2010, 05:03 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?

Login

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.