Results 1 to 5 of 5

Nerve block by surgeon

  1. #1
    Default Nerve block by surgeon
    Medical Coding Books

    I'm new to ASC billing and I have a question. Is the ASC able to bill for a nerve block given as anesthesia by the surgeon?

    I'm billing for the surgery center. The surgeon did a plantar fascial release along with a tibial nerve block. Do I only bill the plantar release?

    Thank you in advance!

  2. #2
    (These are my opinions and should not be construed as being the final authority. Other opinions may vary.)

    I would look for a second opinion about what I am going to tell you, but this is what we do:

    If it was for anesthesia, then the anesthesiologist bills. If it was for post-op pain, then the ASC bills (with a -59 modifier) even if administered by an anesthesiologist. Some carriers pay, some do not, but bill 'em all. You indicated that the block was performed by the surgeon, which would indicate to me that it was for post-op pain.

    Richard Mann, your pain management coder

  3. #3
    it's actually the first thing the surgeon does. He blocks the ankle and then procedes with the surgery.

    Is it possible to block the ankle before the surgery for purposes of post op pain?

  4. #4
    My understanding is that the ASC can bill for a nerve block if performed by the anesthesiologist and ordered by the surgeon for post op pain. Documentation should support this. You should use the acute post op pain diagnosis with the nerve block (338.18). You cannot bill for it if the surgeon did the block. Do not bill Medicare as they bundled it as of 01/01/10.

  5. #5
    thank you for the information.

Similar Threads

  1. Post Op Pain Block with Regional nerve block
    By lcole7465 in forum Anesthesia
    Replies: 2
    Last Post: 06-27-2015, 09:40 AM
  2. Post op pain block done by Surgeon
    By Soms4 in forum Outpatient Facilities
    Replies: 1
    Last Post: 03-14-2014, 08:44 AM
  3. Popliteal nerve block w nerve stimulator
    By plex932 in forum Anesthesia
    Replies: 1
    Last Post: 07-24-2012, 09:40 PM
  4. Facial nerve block & retrobulbar nerve block
    By seslinger in forum Anesthesia
    Replies: 1
    Last Post: 04-19-2012, 10:16 AM
  5. nerve block
    By ASC CODER in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-08-2010, 08:27 AM

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.