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anesthesia during 64490 or 64493

K Posted Mon 01st of February, 2016 12:03:16 PM

Hello,
I know that anesthesia is "typically not required" but what if you do need to bill for anesthesia on this procedure. What code would you use? We have different opinions here in the office. Some think 01992, 01935, 01936 or 00600 or 00630. Does anyone have any information about coding this? Thanks

SuperCoder Answered Tue 02nd of February, 2016 03:17:25 AM

Hi,
Please mention the procedure with which you want to bill for anesthesia.

K Posted Tue 02nd of February, 2016 12:51:42 PM

code range of 64490-64495 for Paraspinal Nerve Injections.

SuperCoder Answered Wed 03rd of February, 2016 02:09:49 AM

Hi,

If an anesthesiologist or CRNA provides anesthesia for diagnostic or therapeutic nerve blocks or injections, and a different provider performs the block or injection, then the anesthesiologist or CRNA may report the anesthesia service using CPT code 01991/01992. In this case, the service must meet the criteria for monitored anesthesia care. If the anesthesiologist or CRNA provides both the anesthesia service and the block or injection, then the anesthesiologist or CRNA may report the anesthesia service using the conscious sedation code and the injection or block.

01935/1936 are specifically meant for percutaneous image guided procedures not nerve blocks.

Codes 01935 and 01936 both have five base units. Code 01935 should be used to report anesthesia for myelography and discography. Use 01936 to describe anesthesia for vertebroplasty, kyphoplasty and chemonucleolysis."

Thanks!

K Posted Wed 03rd of February, 2016 11:40:12 AM

What if the provider used either Epidurogram or Fluoroscopic guidance when doing the block? Would you then use 01935 or 01936?

What is the definition breakdown of 01935 and 01936? Is it Image guided procedures of the spine either diagnostic (01935) or Therapeutic (01936)via needle-puncture of the skin?

In surgery, doesn't percutaneous pertain to any medical procedure where access to inner organs or other tissue is done via needle-puncture of the skin, rather than by using an "open" approach where inner organs or tissue are exposed?

If so, wouldn't 01935 or 01936 be the correct anesthesia for 64490-64495?

SuperCoder Answered Thu 04th of February, 2016 02:45:14 AM

Hi,
As earlier documented, below codes are-
01935(diagnostic) for example used in myelography or discography
01936(therapeutic) for example used in vertebroplasty, kyphoplasty or chemonucleolysis
These two codes can be used for many procedures but for CPTs 64490-64495, 01935 or 01936 would be the correct anesthesia codes unless anesthesiologist or CRNA provides anesthesia for diagnostic or therapeutic nerve blocks or injections, and a different provider performs the block or injection.
I hope this would answer your query.

K Posted Thu 04th of February, 2016 11:58:59 AM

Thank you!

SuperCoder Answered Fri 05th of February, 2016 00:52:24 AM

Happy to Help!

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