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Old 07-02-2013, 10:03 AM
Melissa1987 Melissa1987 is offline
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Question General Anesthesia for a spinal injection

My provider gave general anesthesia (prone) to a patient for a spinal injection (62311).
The injection was performed by another physician.
There is no crosswalk code mentioned for 62311.
I am wondering if this may be billable as:
01992 with modifier 23 "Unusual Anesthesia" submitted with the anesthesia record.

Is there any information out there regarding this issue?
Please let me know what you think!
(Texas case)

Thank you!

~Melissa, CPC

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Old 07-03-2013, 09:20 PM
dwaldman dwaldman is offline
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I would just report 01992 AA
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Old 07-16-2013, 12:42 PM
enancy79 enancy79 is offline
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01992 would be appropriate for that scenario. Use your correct modifiers, QZ or AA depending on your providers credentials. No "unusual anesthesia" was performed.
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Old 07-17-2013, 03:10 AM
aftab.alam620@gmail.com aftab.alam620@gmail.com is offline
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I would go with "enancy", correct code would be 01992 for prone position with AA/QZ
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Old 08-26-2013, 07:33 AM
lydianhernandez lydianhernandez is offline
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I would like to know the answer to this as well.
I bill lumbar procedure for lumbar steroid injection. I've billed 00630 for lumbar procedure with appropriate modifier but insurance will still not pay.
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Old 08-27-2013, 11:24 PM
capricew capricew is offline
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i would have to disagree, cpt 62311 is not normally performed under general anesthesia so the the unusual anesthesia would be reported with records that document why the general anesthesia was needed

just my opinion.....
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