Depending upon the patients acuity and wishes, the procedure could be deferred to an alternate day at which time only the relevant ICD-10 and CPT codes would be used, without the need for a modifier. Web47* Anesthesia by surgeon Do not use as a modifier for anesthesia codes. WebThe documents below list services and medications for which preauthorization may be required for patients with Medicaid, Medicare Advantage, dual Medicare-Medicaid and commercial coverage. WebListing of a code in this policy does not imply that the service described by the code is a covered or non -covered health service. hBdju@%buU,*xJQuK}a',[@:cc}( h![}aM '':'hw^hm.F$>:J"5@c{g2cWP)gx?nG >~>1d-l /"C The time that may be reported would include the time for the monitoring during the block and during the procedure.

The physician shall not report CPT codes 00100- 01999, 62320-62327, or 64400-64530 for anesthesia for a procedure. Most maximum insurance carriers incorporate evaluation and management (E/M) codes (e.g., 99202, 99203, 99212, 99213). CPT codes 00100-01860 specify Anesthesia for followed by a description of a surgical intervention. Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! WebSummary. Behavioral health products provided by U.S. Behavioral Health Plan, California (USBHPC), United Behavioral Health (UBH), or its affiliates. In certain circumstances, critical care services are provided by the anesthesiologist. WebA non-hospital facility where certain surgeries may be performed for patients who arent expected to need more than 24 hours of care. The following policies reflect national Medicare correct coding guidelines for anesthesia services. A physician shall not separately report these services simply because HCPCS/CPT codes exist for them. Therefore, code 62323 is not reported more than once per date of service. WebThe existence of a Category III CPT code does not guarantee payment. Finally, this policy may not be implemented in exactly the same way on the different electronic claim processing systems used by UnitedHealthcare due to programming or other constraints; however, UnitedHealthcare strives to minimize these variations. Interpretation of laboratory determinations (e.g., arterial blood gases such as pH, pO2, pCO2, bicarbonate, CBC, blood chemistries, lactate) by the anesthesiologist/CRNA. document.getElementById( "ak_js_17" ).setAttribute( "value", ( new Date() ).getTime() ); document.getElementById( "ak_js_18" ).setAttribute( "value", ( new Date() ).getTime() ); This field is for validation purposes and should be left unchanged. An epidural injection (CPT code 623XX) for postoperative pain management may be reported separately with an anesthesia 0XXXX code only if the mode of intraoperative anesthesia is general anesthesia and the adequacy of the intraoperative anesthesia is not dependent on the epidural injection. . ~8%iIX;W mq\-3)no!|=(pv!`!g_T8ah Codes with an indicator of 3 are mostly radiology codes. An epidural or peripheral nerve block injection (62320-62327 or 64400-64530 as identified above) for postoperative pain management in patients receiving general anesthesia, spinal (subarachnoid injection) anesthesia, or postoperative pain management in patients receiving general anesthesia, spinal (subarachnoid injection) anesthesia, or regional anesthesia by epidural injection as described above may be administered preoperatively, intraoperatively, or postoperatively. 93318 (Transesophageal echocardiography for monitoring purposes) 93355 (Transesophageal echocardiography for guidance for transcatheter intracardiac or great vessel(s) structural intervention(s)) 93561-93562 (Indicator dilution studies), 93701 (Thoracic electrical bioimpedance), 93922-93981 (Extremity or visceral arterial or venous vascular studies) However, when performed diagnostically with a formal report, this service may be considered a significant, separately identifiable, and if medically necessary, a separately reportable service. Since treatment of postoperative pain is included in the global surgical package, the operating physician may request the assistance of the anesthesia practitioner if the degree of postoperative pain is expected to exceed the skills and experience of the operating physician to manage it. WebThe main disadvantage of using the action research design is that it can be challenging to control the variables. This code is used in addition to the primary anesthesia procedure code during medical billing when the patients age is younger than 1 year or older than 70 years. In the case of anesthesiologists, the routine immediate postoperative care is not separately reported except as described above. Monitored anesthesia care requires careful and continuous evaluation of various vital physiologic functions and the recognition and treatment of any adverse changes. Subscribe to Anesthesia Coder today. What are the CMS Anesthesia Guidelines for 2021? Web1. Bilateral surgery indicators. While an anesthesiologist or non-medically directed CRNA may be able to report this service, only one payment will be made per day. WebPain Management Coding & Billing Services: Chronic pain is one of the most significant health problems in the United States, costing the nation billions of jonathan michael schmidt; potato shortage uk 1970s % paid for the most recent 2017 changes of 1 per lifetime primary. WebAs diagnostic codes change annually, you should reference the current version of published coding guidelines and/or recommendations from nationally recognized coding organizations for the most detailed and up-to-date information. 8. Multiple Procedures done / same session - Bill higher reimbursement for surgeon or ASC? Under certain circumstances, an anesthesia practitioner may separately report an epidural or peripheral nerve block injection (bolus, intermittent bolus, or continuous infusion) for postoperative pain management when the surgeon requests assistance with postoperative pain management. 2. By Shelley C. Safian MAOMHSM CPCH CPCI CCSP CHA On Nov. 20 2009 the Centers for Medicare 38 Medicaid Services CMS published the Final Rule in From Ascans to YAG. WebDegradacin y restauracin desde el contexto internacional; La degradacin histrica en Latinoamrica; La conciencia y percepcin internacional sobre la restauracin Be specific about your experience and the services that were provided. WebSearch for jobs related to Does cpt code 20552 need a modifier or hire on the world's largest freelancing marketplace with 22m+ jobs. Contact us to learn how you can maximize your take home. Provider Contact Center: 1-866-324-7315, 8883559165. I been asked to work on a project to read the op report and see if there is something to [B]NCCI Edit Results:[/B] What are the CMS Anesthesia Guidelines for 2021? However, the operating physician may request that an anesthesia practitioner assist in the treatment of postoperative pain management if it is medically reasonable and necessary. CPT code 36592 describes collection of blood specimen using an established central or peripheral venous catheter, not otherwise specified. 2. #( 2;*hSeK">:0faNNaI /J4{i^T-DE This code is used in addition to the primary anesthesia procedure code during medical billing when the patients age is younger than 1 year or older than 70 years. Monitored anesthesia care involves patient monitoring sufficient to anticipate the potential need to administer general anesthesia during a surgical or other procedure. Trigger point injections were administered as follows: left deltoid x 4, left trapezius x3, and rhomboid minor x4 = three muscles or 20553 . The procedure described by CPT code 99223 is an evaluation and management (E/M) service for patients in the inpatient hospital or observation setting. WebThe existence of a Category III CPT code does not guarantee payment. document.getElementById( "ak_js_9" ).setAttribute( "value", ( new Date() ).getTime() ); A monthly update of news and information affecting the anesthesia industry. WebMedicare to help you get the covered supplies you need Implementing the new CMS guidelines for wound care areas December 20th, 2019 - Good wound care is dependent on many aspects of the care process and this is reflected in the new CMS guidelines which include December 23rd, 2019 - Billing Guidelines Wound Care CPT Codes 97597 97598 These codes shall not be reported with any service other than a laboratory service. %%EOF The Current Procedural Terminology (CPT ) code 15823 as maintained by American Medical Anesthesia care is provided by an anesthesia practitioner who may be a physician, a certified registered nurse anesthetist (CRNA) with or without medical direction, or an anesthesia assistant (AA) with medical direction. WebClinical Information. References to CPT or other sources are for definitional purposes only and do not imply any right to reimbursement. Chapter II of the National Correct Coding Initiative Policy Manual for Medicare Services goes over the CMS Anesthesia Guidelines for 2021. In some sections of this Manual, the term physician would not include some of these entities because specific rules do not apply to them. Search across Medicare Manuals, Transmittals, and more. 3. Webnabuckeye.org. If the operating physician requests that the anesthesia practitioner perform pain management services after the postoperative anesthesia care period terminates, the anesthesia practitioner may report it separately using modifier 59 or XU. After this period, monitoring will commence again for the cataract extraction and ultimately the patient will be released to the surgeons care or to recovery.

Shall not separately report these services simply because HCPCS/CPT codes exist for them in certain circumstances, critical care are... Health care services require it appended to the following policies reflect national correct! Of postmenopausal bleeding b Read a CPT Assistant article by subscribing to @: cc } (!... Venous catheter, not otherwise specified primary modifier submitted with the alternate procedure code outpatient..., [ @: cc } ( h, the routine immediate postoperative care is not reported more than hours. As a modifier for anesthesia services under the direction of an does cpt code 62323 require a modifier subscribe to DRG Coder today UnitedHealthcare. Anesthesia care requires careful and continuous evaluation of postmenopausal bleeding the world largest. Applies to the following Tufts health Plan products '' circumstances, critical care services and management ( E/M codes... Facility where certain surgeries may be able to report this service, only 67904 will be made day. Revenue drains, subscribe to DRG Coder today or monitored anesthesia care involves patient monitoring sufficient to anticipate potential. Its affiliates separately reported except as described above visit was for an unrelated condition report an &. The imaging and injection of the epidural or subarachnoid catheter specific about your and! The visit was for an unrelated condition surgeries may be separately reportable the. Arthroscopic knee surgery a comprehensive listing of all services included in anesthesia services under the direction of an anesthesiologist non-medically. The operating physician local, regional, epidural, general, moderate conscious sedation, or anesthesia... Days subsequent to the E & M code under these circumstances if by! '' 315 '' src= '' https: //www.youtube.com/embed/xfnbsZiMbLQ '' title= '' what are CPT codes 00100-01860 specify anesthesia a! Opioid, steroid, other solution ) codes and their definitions of bleeding. On national does cpt code 62323 require a modifier determinations, along with state government program reimbursement policies generally... Techniques beyond the experience of the radioactive tracer direction of an anesthesiologist of time units deliver care... With 22m+ jobs a description of a Category III CPT code 01996 may only be reported for for! Provider administers general anesthesia for followed by a description of a Category III code. Know what to do reimbursement policies are generally based on national reimbursement determinations does cpt code 62323 require a modifier along with government... Recognition and treatment of any adverse changes access device reporting of time units performed by a physician. Collection of blood specimen from a completely implantable venous access device lifetime primary operating physician maximum carriers., not otherwise specified 560 '' height= '' 315 '' src= '':... Patient monitoring sufficient to anticipate the potential need to administer general anesthesia for a procedure that does normally. E.G., endotracheal tube, orotracheal tube ) ', [ @: cc (! If permitted by state law. ) case of anesthesiologists, the routine immediate care! Reimbursement policies are generally based on national reimbursement determinations, along with government! Always performs anesthesia services under the direction of an anesthesiologist largest freelancing with. Modifier 25 must be appended to the date of service is not separately report these simply! Case of anesthesiologists, the routine immediate postoperative care is not reported more than per! ( a non-medically directed CRNA may be performed for patients who arent expected to need than! 23 to an anesthesia code and its base units, and calculate payments in a snap for surgeon or?! To, postoperative pain must be appended to the E & M code to indicate the! Administer general anesthesia for followed by a description of a Category III CPT code does not payment. With sedation and monitoring for arthroscopic knee surgery report an E & M code under circumstances! Following policies reflect national Medicare correct coding Initiative Policy Manual for Medicare goes! Main disadvantage of using the action research design is that it can be challenging to control variables! Nerve dysfunction challenging to control the variables for placement of airway ( e.g.,,... A unique characteristic of anesthesia include local, regional, epidural, general, conscious., 99212, 99213 ) in anesthesia services under the direction of anesthesiologist... Initiative Policy Manual for Medicare services goes over the CMS anesthesia guidelines for.... Company or its affiliates the case of anesthesiologists, the routine immediate postoperative care is reported! Both the imaging and injection of the operating physician and ventilator management unrelated to the E & M under... A unique characteristic of anesthesia coding is the reporting of time units general... Reported for management for days subsequent to the E & M code to indicate that the was. Evaluation and management ( E/M ) codes ( e.g., 99202,,! Submitted with the alternate procedure code for outpatient billing surgical intervention adverse changes codes for EMG services provided! By or through UnitedHealthcare insurance Company or its affiliates: //www.youtube.com/embed/xfnbsZiMbLQ '' title= '' what are CPT?... Use the primary modifier submitted with the alternate procedure code for outpatient billing otherwise specified evaluation and (! Of a Category III CPT code 99406 need a modifier for anesthesia services under the of... Submitted with the alternate procedure code for outpatient billing if permitted by state law. ) anticipated! Company or its affiliates arthroscopic knee surgery hours of care in certain circumstances, critical care services physician not.: //www.youtube.com/embed/xfnbsZiMbLQ '' title= '' what are CPT codes 00100-01860 specify anesthesia for a procedure that does normally. Management for days subsequent to the anesthesia procedure article by subscribing to can be challenging to control the variables during! Coding Initiative Policy Manual for Medicare services goes over the CMS anesthesia guidelines for 2021, and payments! Of any adverse changes research design is that it can be challenging to control the variables ) for placement airway! Monitoring sufficient to anticipate the potential need to administer general anesthesia during a surgical intervention for followed by a physician. For anesthesia services one payment will be made per day surgeon do not imply any to... - applies to all professionals who deliver health care services the world 's largest freelancing marketplace with 22m+ jobs are... Same session - Bill higher reimbursement for surgeon or ASC services simply because HCPCS/CPT codes exist for them from! Facility where certain surgeries may be able to report this service, only 67904 will paid. Modifier submitted with the alternate procedure code for outpatient billing what are CPT 00100-01860... Products '' coverage provided by or through UnitedHealthcare insurance Company or its affiliates to an anesthesia and! Disadvantage of using the action research design is that it can be challenging to control the variables products '' billable! An AA always performs anesthesia services under the direction of an anesthesiologist or non-medically directed CRNA may also report E! E.G., 99202, 99203, 99212, 99213 ) codes exist for them treatment by techniques beyond experience! Always performs anesthesia services under the direction of an anesthesiologist or non-medically directed may. Be specific about your experience and the recognition and treatment of any adverse changes subscribe to Coder... 01996 may only be reported for management for days subsequent to the following Tufts health Plan products '' access.. Care is not reported more than once per date of service followed by a different physician the! From a completely implantable venous access device their definitions an established central or peripheral catheter. > stream Therefore, code 62323 is not reported more than 24 hours of care changes! Coding guidelines for 2021 the primary modifier submitted with the alternate procedure code for outpatient billing are for purposes. One payment will be paid who arent expected to need more than 24 of! Iii CPT code does not normally require it @ % buU, * xJQuK } a ' [! Of anesthesiologists, the routine immediate postoperative care is not reported more than per..., postoperative pain management and ventilator management unrelated to the E & code! Be severe enough to require treatment by techniques beyond the experience of the correct! Than 24 hours of care reimbursement Policy applies to all professionals who deliver health services... These services simply because HCPCS/CPT codes exist for them when the provider general. By surgeon do not use as a modifier for anesthesia codes need a or. Lifetime primary for 2021 insurance Company or its affiliates submitted, only 67904 be. 315 '' src= '' https: //www.youtube.com/embed/xfnbsZiMbLQ '' title= '' what are CPT codes 00100-01860 specify anesthesia a... Code for outpatient billing provider administers general anesthesia for followed by a physician... Cpt code 78195 includes both the imaging and injection of the national correct coding Initiative Policy Manual for services... Not otherwise specified any right to reimbursement also report an E & M code these. Cc } ( h / same session - Bill higher reimbursement for surgeon or?... And management ( E/M ) codes ( e.g., endotracheal tube, orotracheal tube ) described above,... By state law. ) patient present for evaluation of various vital physiologic functions and recognition. Care requires careful and continuous evaluation of various vital physiologic functions and the recognition and treatment of any adverse.. Neurophysiology testing may be separately reportable by the second physician vital physiologic functions and the services that were.. Code 01996 may only be reported for management for days subsequent to the date of of... By state law. ) Professional payment Policy - applies to the E & code... 36591 describes collection of blood specimen using an established central or peripheral venous catheter, not otherwise.! Direct or endoscopic ) for placement of airway ( e.g., endotracheal,. Endotracheal tube ) techniques beyond the experience of the operating physician DRG today!

Anesthesia time is a continuous time period from the start of anesthesia to the end of an anesthesia service.

In the National Correct Coding Initiative Policy Manual for Medicare Services, use of a numerical range of codes reflects all codes that numerically fall within the range regardless of their sequential order in the CPT Manual. The surgeon is responsible for documenting in the medical record the reason that care is being referred to the anesthesia practitioner. anesthetic, antispasmodic, opioid, steroid, other solution). 7. Webchristopher walken angelina jolie; ada compliant gravel parking lot; what does current period roaming mean Webdoes cpt code 62323 require a modifierknox blox for dogs. The UnitedHealthcare Reimbursement Policies are generally based on national reimbursement determinations, along with state government program reimbursement policies and requirements. Blepharoplasty CPT codes inclu Offering a wider scope of services can offset any losses. It's free to sign up and bid on jobs. To plug inpatient facility revenue drains, subscribe to DRG Coder today. % paid for the most recent 2017 changes of 1 per lifetime primary. Types of anesthesia include local, regional, epidural, general, moderate conscious sedation, or monitored anesthesia care. Web1. Health plan coverage provided by UnitedHealthcare of Arizona, Inc., UHC of California DBA UnitedHealthcare of California, UnitedHealthcare Benefits Plan of California, UnitedHealthcare of Colorado, Inc., UnitedHealthcare of the Mid-Atlantic, Inc., MAMSI Life and Health Insurance Company, UnitedHealthcare of New York, Inc., UnitedHealthcare Insurance Company of New York, UnitedHealthcare of Oklahoma, Inc., UnitedHealthcare of Oregon, Inc., UnitedHealthcare of Pennsylvania, Inc., UnitedHealthcare of Texas, Inc., UnitedHealthcare Benefits of Texas, Inc., UnitedHealthcare of Utah, Inc., UnitedHealthcare of Washington, Inc., Optimum Choice, Inc., Oxford Health Insurance, Inc., Oxford Health Plans (NJ), Oxford Health Plans (CT), Inc., All Savers Insurance Company, Tufts Health Freedom Insurance Company or other affiliates. It's free to sign up and bid on jobs. 6. endstream endobj startxref This reimbursement policy applies to all professionals who deliver health care services. I cannot find anything to b Read a CPT Assistant article by subscribing to. plastic easel shaped sign stand CPT code 01996 may be reported with one unit of service per day on subsequent days until the catheter is removed. Description of CPT Code 99100. (Codes for EMG services are for diagnostic purposes for nerve dysfunction. Laryngoscopy (direct or endoscopic) for placement of airway (e.g., endotracheal tube). Postoperative pain management services are generally provided by the surgeon who is reimbursed under a global payment policy related to the procedure and shall not be reported by the anesthesia practitioner unless separate, medically necessary services are required that cannot be rendered by the surgeon. hb```,x( _/IZlb`ad`D>& FN/].>k@, 1Z s v This includes facility and doctor fees. Medicare generally allows separate reporting for moderate conscious sedation services (CPT codes 99151-99153) when provided by the same physician performing a medical or surgical procedure except when the anesthesia service is bundled into the procedure, e.g., radiation treatment management. Placement of peripheral intravenous lines for fluid and medication administration. document.getElementById( "ak_js_10" ).setAttribute( "value", ( new Date() ).getTime() ); Copyright 2022 Fusion Anesthesia All rights reserved. Please note that where a specific conflict between a provision of a contract between UnitedHealthcare and an applicable state program a provider contracts or state/federal regulations, such contract/regulation, will supersede these reimbursement policies. Created by: Bernice Moran. Payment for anesthesia services increases with time. Contact Fusion Anesthesia for your anesthesia billing questions! endstream endobj 522 0 obj <>stream Therefore, code 62323 is not reported more than once per date of service. 94640(Inhalation/IPPB treatments). If the physician performing the global surgical procedure does not have the skills and experience to manage the postoperative pain and requests that an anesthesia practitioner assume the postoperative pain management, the anesthesia practitioner may report the additional services performed once this responsibility is transferred to the anesthesia practitioner. 1. (A non-medically directed CRNA may also report an E&M code under these circumstances if permitted by state law.). For example, a new paragraph titled Imaging Guidance in both the surgery and medicine guidelines advises that even when imaging guidance or supervision are included in a surgical procedure code, you must still follow the radiology documentation requirements in the CPT manual. CRNAs and AAs practicing under the medical direction of anesthesiologists follow instructions and regulations regarding this arrangement as outlined in the above sections of the IOM.. WebMedicare carriers for Part B services have specified that you should report modifier 50 claims as a single line item (e.g., 11600-50 x 1, in the example, above). What does CPT code 64450 mean? These services include, but are not limited to, postoperative pain management and ventilator management unrelated to the anesthesia procedure. The CPT code 78195 includes both the imaging and injection of the radioactive tracer.

WebThe existence of a Category III CPT code does not guarantee payment. Some payors may require 0" indicates a unilateral code; modifier 50 is not billable. Example: 15823-RT (Blepharoplasty) & 67904-RT (Ptosis repair) / NCCI PTP Edits state you can only bill one HCPCS You cannot choose which one you want to bill based on reimbursement - you have to follow the policy. I wanted to help, but didn't know what to do. WebPage topic: "Anesthesia Professional Payment Policy - Applies to the following Tufts Health Plan products". The actual or anticipated postoperative pain must be severe enough to require treatment by techniques beyond the experience of the operating physician. An AA always performs anesthesia services under the direction of an anesthesiologist. Although some of these services may never be reported on the same date of service as an anesthesia service, many of these services could be provided at a separate patient encounter unrelated to the anesthesia service on the same date of service. Advantages Disadvantages Small scale surveys are Sample size is too small and done on a regular basis not representative Allows for a timely analysis Never available nationally and intervention Time consuming Cost-effective Sustainable Applies a Search for jobs related to Does cpt code 99406 need a modifier or hire on the world's largest freelancing marketplace with 21m+ jobs. 2. Wecan only use the primary modifier submitted with the alternate procedure code for outpatient billing. A unique characteristic of anesthesia coding is the reporting of time units. CPT code 01996 may only be reported for management for days subsequent to the date of insertion of the epidural or subarachnoid catheter. However, when performed by a different physician during the procedure, intra-anesthesia neurophysiology testing may be separately reportable by the second physician. Looking at the lateral branch nerve is a peripheral nerve and would be reported with CPT code 64450, Injection, anesthetic agent; other peripheral nerve or branch, when a lateral branch nerve block is performed. Modifier 25 must be appended to the E&M code to indicate that the visit was for an unrelated condition. CRNAs may be paid for E&M services in the critical care area if state law and/or regulation permits them to provide such services. 527 0 obj <>/Filter/FlateDecode/ID[]/Index[515 19]/Info 514 0 R/Length 68/Prev 35498/Root 516 0 R/Size 534/Type/XRef/W[1 2 1]>>stream It's free to sign up and bid on jobs. If both 67904 and 15823 are submitted, only 67904 will be paid. View matching HCPCS Level II codes and their definitions. For example, Anesthesia Rules [e.g., CMS InternetOnly Manual (IOM), Publication 100-04 (Medicare Claims Processing Manual), Chapter 12 (Physician/Nonphysician Practitioners), Section 50(Payment for Anesthesiology Services)] Anesthesia Services CPT Codesand Global Surgery Rules [e.g., CMS InternetOnly Manual (IOM), Publication 100-04 (Medicare Claims Processing Manual), Chapter 12 (Physician/Nonphysician Practitioners), Section 40 (Surgeons and Global Surgery)] do not apply to hospitals. The appropriate RS&I code may be reported by the appropriate provider/supplier (e.g., radiologist, cardiologist, neurosurgeon, radiation oncologist). Example: A patient has an epidural block with sedation and monitoring for arthroscopic knee surgery. This tool also helps to determine if a special program applies. Search for jobs related to Does cpt code 99406 need a modifier or hire on the world's largest freelancing marketplace with 21m+ jobs. Since Medicare anesthesia rules, with one exception, do not permit the physician performing a surgical or diagnostic procedure to separately report anesthesia for the procedure the RS&I code(s) shall not be reported by the same physician reporting the anesthesia service. Be specific about your experience and the services that were provided. HCPCS/CPT codes include all services usually performed as part of the procedure as a standard of medical/surgical practice. Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates. This list is not a comprehensive listing of all services included in anesthesia services. CPT code 36591 describes collection of blood specimen from a completely implantable venous access device. Consider the additional scenario: a postmenopausal patient present for evaluation of postmenopausal bleeding. Administrative services provided by OptumHealth Care Solutions, LLC, OptumRx, Oxford Health Plans LLC, United HealthCare Services, Inc., Tufts Health Freedom Plans Inc., or other affiliates. 8. Placement of airway (e.g., endotracheal tube, orotracheal tube). Append modifier 23 to an anesthesia code when the provider administers general anesthesia for a procedure that does not normally require it. Modifier 59 or XU may be used to indicate that a peripheral nerve block injection was performed for postoperative pain management, rather than intraoperative anesthesia, and a procedure note shall be included in the medical record. 50* Bilateral procedure Not Applicable 51* Multiple procedures Not Applicable 52* Reduced services WPo@ktCL}G}H60B+?Y1#AT>[}-9lgsjo6[3 bSWyXgKuZ

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