tci General Surgery Coding Alert - 2006 Issue 6

READER QUESTIONS: ON-Q Might Not Pay What You Think

Question: What is the correct code for placement of an ON-Q pain pump for post-procedure pain management? I-ve been using 49999, but no payer will recognize this.North Carolina Subscriber Answer: For most payers, you cannot charge separately for placement of the ON-Q pain pump using an unlisted- procedure code such as 49999 (Unlisted procedure, abdomen, peritoneum and omentum), or any other code.The ON-Q pain pump is a recently introduced type of patient-controlled, temporary pump, similar to patient-controlled analgesia (PCA). It provides continuous infusion of a local anesthetic directly into the operative site for post-op pain management. ...

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