Anesthesia Coding Billing Guideline that Crosswalks to Pain Management Procedures
Mar29

Anesthesia Coding Billing Guideline that Crosswalks to Pain Management Procedures

Here are the Anesthesia Coding Guidelines that Crosswalks to Pain Management Procedures: 64479 Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); cervical or thoracic, single level 64480 Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional level (List separately in addition to code for primary procedure) 64483 Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, single level 64484 Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional level (List separately in addition to code for primary procedure) 64490-64492 Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic 64493-64495 Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral 64633 Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint [when specified as radiofrequency facet neurolysis, cervical] 64634 Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint [when specified as radiofrequency facet neurolysis, cervical] 64635 Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint [when specified as radiofrequency facet neurolysis, lumbar or lumbosacral] 64636 Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint [when specified as radiofrequency facet neurolysis, lumbar or lumbosacral] Since all the above codes are image guided and are spinal procedures; the most appropriate Anesthesia codes will be: 01935 Anesthesia for percutaneous image guided procedures on the spine and spinal cord; diagnostic (Base Unit 5) **** for 64490-64495; 64640 01936 … therapeutic (Base Unit 5) 01992 – Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is performed by a different physician or other qualified health care professional); prone position – Base Unit 5 (CPT 27096) Anesthesia Modifiers AA – Anesthesia services performed personally by an anesthesiologist. QZ – CRNA service without medical direction by a physician. Anesthesia Informational Modifiers QS – Monitored anesthesia care service. (Use with anesthesia procedure codes only, and report the actual anesthesia time on the claim.) P1 – A normal healthy patient P2 – A patient with mild systemic disease P3 – A patient with severe systemic disease Time Units for Anesthesia Codes that Crosswalk for Pain Management Procedures: Anesthesia time is defined as the...

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