tci Part B Insider - 2012 Issue 35

Reader Question: 99232 Isn't Appropriate for Every Hospital Follow-up

Question: The anesthesiologist placed an indwelling thoracic epidural catheter at T6-T7 for a patient with a chest wall fracture of multiple ribs (the patient was admitted to the hospital). The infusion was a mixture of bupivacaine and fentanyl. The anesthesiologist followed up on the infusion for two days after insertion. Medicare denied our claim with 62318 for the epidural and 99232 for follow-up. How should we code this service? Answer: You submitted the correct epidural code of 62318 (Injection[s], including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance[s] [including anesthetic, antispasmodic, opioid, steroid, other...

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