tci General Surgery Coding Alert - 2010 Issue 1

READER QUESTIONS : Beware Anesthesia Bundles

Question: If the surgeon performs a hernia repair on a two-month-old infant that requires continuous infusion of anesthetic via catheter, can we report the infusion separately? Texas Subscriber Answer: No, you should not separately report the infusion. There are two hernia repair codes for two-month olds, and Correct Coding Initiative (CCI) bundles catheter infusion of anesthetic (64416, Injection, anesthetic agent; brachial plexus, continuous infusion by catheter [including catheter placement]) into both of them. When the surgeon performs hernia repair on a two-month-old with this type of anesthetic, you have two choices: 1. Report 49491 (Repair, initial inguinal hernia...

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