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Anesthesia Coding Alert

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Steer Clear of Reporting 27447 With 64447

Question: Our anesthesiologists are using ultrasound guidance when administering postoperative nerve blocks after total knee replacement surgery. We have a written request from the surgeon for the nerve block and the ultrasound guidance. We are billing the following: 27447, 64447-59, and 76942-26. Medicare is denying the claims as “not medically necessary.” Can you help us with this? New Hampshire Subscriber  Answer: Coding [...]

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