Coding Tips

02/25/2020 Epidural Blood Patch with Labor & Delivery

Question: Are epidural blood patches billable on the same day as labor & delivery? Answer: Administering a blood patch on the same day as labor and delivery is unusual because most physicians try to manage spinal headaches conservatively before turning to an invasive treatment. Double check a few things before billing the blood patch procedure: Ensure that what you call a blood patch wasn’t simply injecting blood through the epidural catheter before removing it after labor and delivery. If this is the case, you shouldn’t bill the injection separately. If you removed the epidural catheter after the delivery and determined later that day to administer an epidural blood patch, you can report it. Submit 62273 (Injection, epidural, of blood or clot patch) and include documentation of why the procedure was necessary. SupportMed will include the appropriate diagnosis code per your medical documentation and may need to add a billing modifier to indicate to the payor that the…

02/04/2020 – Code Changes for 2020

Question: Are there any code changes that apply to anesthesia in 2020? Answer: There were no changes to anesthesia codes for 2020. There are, however, some changes to pain management codes that may affect you—they are listed below: 2019 codes 2020 codes Anesthetic agent injections 64999 unlisted procedure, nervous system 64451 (Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)) 64999 unlisted procedure, nervous system 64454 (Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed). Nerve destruction 64999 unlisted procedure, nervous system 64624 (Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed) 64999 unlisted procedure, nervous system 64625 (Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or compute…