tci Outpatient Facility Coding Alert - 2013 Issue 2

Pain Management: Follow These 4 Steps to Successful Spinal Epidural Coding

Start with a clear understanding of anatomy. When it’s time to report an epidural for pain management, you’ll need to know exactly where the provider places the needle to accurately code these services. Stephanie Ellis, RN, CPC, president of Ellis Medical Consulting in Franklin, Tenn., shares her insights on spinal anatomy so you can follow the placement and diagnosis to the correct procedure code. Step 1: Know the Needle Destination The term "epidural" actually is short for "epidural anesthesia." It’s a form of regional anesthesia that involves administering drugs through a needle or a catheter...

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