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Thread: Post op pain control

  1. #1
    Join Date
    Apr 2007

    Default Post op pain control

    AAPC: Back to School
    Our ortho surgeon is injecting pt's sciatic nerve as post op pain management at the end of the procedure. We are using 64445 but are not being paid because it is bundled with the main procedure(numerous CPT Codes) with a zero indicator in CCI. Can the surgeon bill for the injection or should this only be billed by an anesthesiologist. Also, are we possibly not using the correct cpt for the injection. Please advise where I can find documentation on this issue. Thank you in advance for your help.

  2. #2


    In our experience, you are using the correct code, but it is bundled.

  3. #3
    Join Date
    Apr 2007
    Chicopee, Mass


    The injection would be bundled into the surgery. If the anesthesiologist does the injection, he/she will bill out for it and not the surgeon....

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