AAPC - Back to school
Results 1 to 6 of 6

Thread: post-op pain block

  1. #1
    Join Date
    Apr 2007

    Default post-op pain block

    AAPC: Back to School
    I have a case that I would like to know if I coded correctly for the ASC facility--still a little confused on the post-op pain block. Any help would be greatly appreciated!
    OP Report:

    DX:Contracture status post revision knee arthroplasty, left knee with arthrofibrosis

    Procedure: closed manipulation of lt knee under anesthesia

    Description of Op: Pt brought to OR. General anesthesia administered. A femoral nerve block was placed afterwards(by the anesthesiologist). Pt had gentle closed manipulation, which gave the pt 85 degrees initially of flexion, was gradually increased to 125 degrees by slight giving way of scar around quadriceps tendon. Knee placed in full extension. Gentle hyperextension was applied getting back a few more degrees of extension. Pt brought to PACU.

    I coded it:
    DX: 718.56, V43.65
    Procedure:27570-LT, 93.16

    Here's my question would I add CPT code 64448-59 for the femoral block?
    And would I use HCPCS code A4305 for the C-BLOCK pump?

    I'm hesitant on the femoral block because there is just that one statement that it was done and there is no other documentation of it.


  2. #2


    yes you post for the pain block because it was documented that the anesthesiologist administered it.

    I use 338.18 dx with the 59......

  3. #3
    Join Date
    Apr 2007

    Default post-op pain block

    Thanks so much! I just wanted to be sure.

  4. #4
    Join Date
    Apr 2007


    actually....I would not bill for the femoral block unless you have a report SPECIFICALLY from the anesthesiologist. This was not the surgeons procedure therefore you should not be billing this under the surgeons name. The anesthesiologist must have his own separate documentation of this block either via op note or block form.

    hope this helps
    Mary, CPC, CANPC, COSC

  5. #5
    Join Date
    Apr 2007
    Monmouth, NJ & Dover, DE


    Last edited by delphinus777; 06-22-2010 at 10:22 AM. Reason: added another link

  6. #6


    this is reported for the surgery center not under the surgeon.....When I answered the question I was saying for the FACILITY you can code for the pain block if administered by the anesthesiologist for pain management reasons only if done as part of the procedure than you can't. I stand by my answer. Again this is for the FACILITY. I have found also most insurance companies (If contracted) will pay 2 to 3 hundred dollars for these post op pain blocks I don't know if you posted all of the operative note. It should be clear that it was given for Post op pain 338.18 and distinct from the procedure 59 modifier and administered by anesthesia usually in the notes I see "the block is given in pre op area by Anesthesia for post op pain." If the procedure warrents a General sedation then that would be all you need.
    Last edited by ASC CODER; 06-23-2010 at 12:29 PM.

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
    By Davieda Skobel in forum Billing/Reimbursement
    Replies: 0
    Last Post: 04-30-2014, 11:49 AM
  3. Post Op Pain Block
    By ASC CODER in forum Outpatient Facilities
    Replies: 12
    Last Post: 09-12-2013, 08:06 AM
  4. post op pain block
    By cherie33 in forum Outpatient Facilities
    Replies: 5
    Last Post: 10-18-2010, 11:53 AM
  5. 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, 07:40 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.