tci Outpatient Facility Coding Alert - 2018 Issue 5

You Be the Coder: Rely on NCCI Guidelines for Pain Management Following RC Repair

Question: A patient returns two days following a rotator cuff repair (acute) complaining of chronic pain. The physician performs a suprascapular nerve block for pain management purposes. Can I code for this service? Need Subscriber Answer: The global period for surgical code 23410 (Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute) is 90 days. Since the surgeon performs a 64418 (Injection, anesthetic agent; suprascapular nerve) within the original procedure's global period, you will have to adhere to Medicare global surgery guidelines in order to determine whether this procedure is billable. Chapter VIII of the National Correct Coding...

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