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Anesthesia for a blood patch

  1. #1
    Default Anesthesia for a blood patch
    Medical Coding Books
    I have a group of CRNA that does sedation for a epidural blood patch, while the dr performs the procedure. I need some help with the what anesthesia code I would use?

    Thanks

  2. Default
    Is the Dr an Anesthesiologist and employed by your facility? I'm very new to Anesthesia coding, but if the Dr is not an Anesthesiologist performing the procedure employed by your facilty, perhaps it would just be the 00300 for the CRNA's participation?

  3. Default Anesthesia for a blood patch
    I would code 62273 for the blood patch. If it is being done after an epidural was given I would use dx. 6688_ and 99709. If it for another procedure I would use dx. 3490. You can refer to this in the Anesthesia and Pain coding alert dated vol.11, No. 13 from 2009.

    Alicia, CPC

  4. #4
    Default
    01992 Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is performed by a different provider); prone position

    I believe the above code would work if they were performing MAC for example

  5. Default
    Hi,
    Anesthesia for a blood patch use 01992.Check the patient position is prone..

    Regards,
    Nalini CPC

  6. #6
    Location
    Pasadena, CA
    Posts
    54
    Exclamation
    effective 1/1/11 dos, anesthesia is not billable for cpt 62273, please check your crosswalk book for 2011.

    Diane

  7. #7
    Default
    Which anesthesia crosswalk states that a separate provider can not performed for example MAC for an epidural blood patch?

  8. #8
    Location
    Jamaica, NY
    Posts
    55
    Default
    Although crosswalks states, "Anesthesia Care not typically required", you can bill if your patient has an underlying medical condition causing the need for the patient to be sedated for this procedure.

  9. #9
    Location
    Frederick, MD
    Posts
    42
    Default
    You would only bill 62273 if the CRNA was performing the blood patch. But since they are providing just the anesthesia for the surgeon to perform the actual blood patch you would bill 01991 or 01992. If the patient is in prone position then 01992 if not 01991.

  10. #10
    Default
    I agree with CindyT.

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