tci ED Coding & Reimbursement Alert - 2013 Issue 4

Reader Question: Don't Get Blocked On Your Stand-Alone Pain Control Procedures

Question: Can I get paid for providing digital blocks? Maine Subscriber Answer: For most payers including those following CPT® guidelines, this service can no longer be separately coded, when performed as a component of a surgical procedure. In this instance, digital block is clearly bundled as part of the global surgical package, as outlined in the CPT® Introduction to the Surgical section-CPT® Surgical Package Definition. Under Medicare’s global services package rules, digital blocks have always been bundled when performed as a component of a surgical procedure. However, digital blocks performed as a stand-alone procedure and not part of...

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