That depends on if your providers are using a combined anesthesia technique or if they are placing the spinal for post operative pain management. If it's the former you can't bill it, if it's the latter you can. My understanding is that the femoral block only provides pain relief for part of the knee, necessitating a combined pain control method. Our physicians do femoral nerve blocks combined with IV/PCAs for total knee post op pain. The best thing to do is consult your providers about the intent.
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