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intra-operative injections for post-op pain

  1. #1
    Question intra-operative injections for post-op pain
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    Hi, I am a little confused on intra-operative injections done for post-operative pain.
    My understanding is that say a femoral cath done after induction of the general anesthesia for a total knee replacement is still seperately reportable and reimbursable if -59 is included and the diagnosis includes 338.18 post-operative pain. Is this incorrect?

    I know that pre-induction and post-operative injections are seperately reportable as long as these were not included in the anesthesia time. But I cannot find anything clear explaining intra-operative injections done.

    Please HELP!

  2. #2

    Have you already read chapter two in NCCI policy manual? Reviewed CPT Assistant?

  3. #3
    A recently updated ASA position paper does a nice job of summarizing this issue.

    See the ASA website at

    and scroll to the link for

    Reporting Postoperative Pain Procedures in Conjunction With Anesthesia (2010)

    Hope this helps -

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