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Anesthesia Code

Vicki Posted Wed 30th of December, 2015 20:56:21 PM

What would the anesthesia code be if MD administered TIVA for left L3-4, L4-5, L5-6 TF ESI?

What about for a Right L2-3, L3-4 and L4-5 MBB?

SuperCoder Answered Tue 05th of January, 2016 05:22:54 AM

CPT code for TIVA for left L3-4, L4-5, L5-6 TF ESI is 62311.
CPT code for a Right L2-3, L3-4 and L4-5 MBB is 64493, 64494, 64495.

Vicki Posted Tue 05th of January, 2016 10:40:22 AM

I need the anesthesia code not the surgery code

SuperCoder Answered Thu 07th of January, 2016 04:15:59 AM

Anesthesia codes for lumbar region are 00630-00635

Vicki Posted Mon 01st of May, 2017 23:49:02 PM
I need clarification, please. I am getting conflicting information on the following: If CRNA is providing gen anesthesia for a ESI CESI what ANESTHESIA code would be billed? Anesthesia Code ESI Caudal? Anesthesia Code TF ESI? Anesthesia Code -Facet - MBB? Thank you for your help.
SuperCoder Answered Tue 02nd of May, 2017 07:45:43 AM

There are two scenarios with which you can bill the services rendered.

 

Scenario 1:

 

If CRNA provided general anaesthesia for a ESI CESI, appropriate CPT code would be 00630 (Anaesthesia for procedures in lumbar region; not otherwise specified) along with modifier QX (Medical direction of two, three, or four concurrent anaesthesia procedures involving qualified individuals) OR, modifier QZ (CRNA service: without medical direction by a physician).

 

Scenario 2:

 

For nerve block injection based upon the positioning of the patient:

01991(other than the prone position) OR, 01992 (prone position)

Vicki Posted Tue 02nd of May, 2017 20:53:09 PM
What about the TF ESI - Anesthesia Code Facet - MBB - Anesthesia Code Also, you mentioned for the CESI the code would be 00630 but wouldn't that be a 00600 (c being cervical) ?
SuperCoder Answered Wed 03rd of May, 2017 06:46:05 AM

There are no specific Anaesthesia codes available for TF ESI (Trans foraminal Epidural Steroid Injection, and Facet- MBB, hence, you can report the service with CPT code 00630 with appropriate modifier. Also, as per the documentation; the mentioned levels are of lumbar region, therefore, CPT code 00600 would not be the appropriate code for lumbar region, as its specifically for the cervical region.

 

If CESI stands for (Cervical Epidural Steroid Injection), then basis the medical records, you can report 00600, for cervical region.

 

For nerve block injection based upon the positioning of the patient: 01991(other than the prone position) OR, 01992 (prone position).

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