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Say Good-bye To Reporting Anesthesia With These Codes

2017 brought a new version of Correct Coding Initiative (CCI) edits, with thousands of changes, many of which affect your anesthesia coding.

CCI edits bundle virtually every anesthesia CPT® code into a group of thirteen procedures. Eight of these represent the newly established codes for epidural administration:

“It could be hard to get used to the new epidural codes because we’ve had the other ones for so many years,” says Kelly D. Dennis, MBA, ACS-AN, CANPC, CHCA, CPC, CPC-I, owner of Perfect Office Solutions in Leesburg, Fla. “And, as I understand it, ‘image guidance’ includes ultrasound even though it is not listed in the ‘i.e.’”

The similarities: The new codes are differentiated by anatomic site (cervical/thoracic and lumbar/sacral). They also continue to represent either a single epidural injection or an indwelling catheter placement.

The differences: The word “interlaminar” has been added to describe the epidural’s placement as either “interlaminar epidural or subarachnoid.” One important deletion is what led to the expansion of choices: the descriptor no longer includes the phrase “includes contrast for localization when performed.”

Each code now specifies whether the provider used imaging guidance.

Looking forward: Edit pairs involving anesthesia services with epidural codes 62320-62327 as well as with 76970 (Ultrasound study follow-up [specify]) have a modifier indicator of “1.” That means you might sometimes be able to “break” the bundle and report both codes — in special circumstances and with sufficient supporting documentation.

Need Help?

Capture the encounter details you need for prompt, equitable reimbursement with TCI’s Anesthesia Coders Sourcebook 2017. This comprehensive user-friendly resource tackles the complexities of CPT®, ICD-10-CM, and HCPCS coding to ensure your billing is accurate and bringing in the revenue you deserve.

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