Question: If an anesthesiologist performs a preoperative femoral nerve block for pain control just prior to general anesthesia, is this injection inclusive of the overall procedure?
Answer:
It is appropriate to report pain management procedures, including the insertion of an epidural
catheter or the performance of a nerve block, for postoperative analgesia separately from the administration
of a general anesthetic. management directly into the knee joint, may code 20610 be reported in addition to the CPT code for the specific arthroscopic procedure performed?
When general anesthesia is administered and these injections are performed to provide postoperative analgesia, they are separate and distinct services and are reported in addition to the anesthesia code. Whether the block procedure (insertion of catheter; injection of narcotic or local anesthetic agent) occurs preoperatively, postoperatively, or during the procedure is immaterial.
As long as the pain block procedure is intended to serve as a postoperative analgesia regimen and is not the primary anesthetic for the surgical procedure (ie, the general or spinal anesthetic required and employed during the intraoperative event), then it is appropriate to report it separately. As the block is separate and distinct from the anesthesia work, one should append modifier 59, Distinct procedural service, to the injection procedure code.
Answer:
It is appropriate to report pain management procedures, including the insertion of an epidural
catheter or the performance of a nerve block, for postoperative analgesia separately from the administration
of a general anesthetic. management directly into the knee joint, may code 20610 be reported in addition to the CPT code for the specific arthroscopic procedure performed?
When general anesthesia is administered and these injections are performed to provide postoperative analgesia, they are separate and distinct services and are reported in addition to the anesthesia code. Whether the block procedure (insertion of catheter; injection of narcotic or local anesthetic agent) occurs preoperatively, postoperatively, or during the procedure is immaterial.
As long as the pain block procedure is intended to serve as a postoperative analgesia regimen and is not the primary anesthetic for the surgical procedure (ie, the general or spinal anesthetic required and employed during the intraoperative event), then it is appropriate to report it separately. As the block is separate and distinct from the anesthesia work, one should append modifier 59, Distinct procedural service, to the injection procedure code.
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