tci ED Coding & Reimbursement Alert - 2008 Issue 3

You Be the Coder: Blood Patch Epidurals

Question: A patient recovering from a spinal tap procedure he had two weeks ago reports to the ED with a severe headache. After a level-four E/M service, the ED physician diagnoses a post-spinal procedure headache. The anesthesiologist examines the patient and decides to perform a blood patch epidural. Can we report an E/M for the ED physician and a code for the blood patch as well? Kentucky Subscriber Answer: You should be able to report a code for the E/M service because the ED physician had to perform a significant E/M before deciding on the course of care. In...

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