For example if patient had anxiety amount receiving an epidural and the physicain performing the procedure also provides moderate sedation for the moderate sedation you would see 99144 and 99145 depending on the time.
If the post op block was not means of anesthesia, I am not aware of any edit that says you can not also bill as such 64415-59 modifier 76942-26. I would use the post op pain dx first such as 338.19 other acute postop pain and then the location of the pain such as 719.41 or the condition for the surgery such as 726.10, 718.01. My understanding is the 338 codes describe the type of pain but not the location. Adding the condition or a 719 pain code helps further explain the location of the pain.
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