Epidural Opioid Administration
The intermittent or continuous administration of epidural opioids to treat severe chronic intractable pain of malignant or non-malignant origin is a Medi-Cal benefit, subject to prior authorization. An implantable infusion pump may be reimbursed when used to administer opioid drugs intrathecally or epidurally in patients with severe chronic intractable pain when the following criteria are met:
• Documentation that parenteral and/or oral administration of analgesia has been unsatisfactory in continuing to provide adequate analgesia for the patient
• Documentation that the patient’s history indicates the patient did not respond to non-invasive methods of pain control such as attempts to eliminate the etiology of the pain and/or behavioral approaches to pain management
• A preliminary trial of intraspinal opioid administration should be first undertaken with a temporary intrathecal or epidural catheter to substantiate adequately acceptable pain relief and tolerable degree of side effects. This trial procedure may be performed during the same time period as the hospitalization for the implantation of the permanent catheter and reservoir/pump.
Know Anesthesia billing claim guidelines and rules for getting payments. How to bill the anesthesia claim in the correct manner without time delay. Medicare Anesthesia billing and coding. procedure code list , procedure codes.
Friday, July 9, 2010
Subscribe to:
Post Comments (Atom)
Popular Posts
-
Billing Modifiers The following modifiers are used when billing for anesthesia services: • QX - Qualified nonphysician anesthetist wit...
-
Anesthesia services are provided under difficult circumstances which may affect the condition of the patient, or present unusual operative c...
-
CPT NEW DESCRIPTION 64633 DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE(S), WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT)...
-
cpt code and description 64450 - Injection, anesthetic agent; other peripheral nerve or branch - average fee amount - $80 - $100 64405 ...
-
CPT code and description 64479 - Injection, anesthetic agent and/or steroid, transforaminal epidural; Cervical or Thoracic, single level ...
-
Lumbar puncture Procedure code and Description 62270 T Spinal puncture, lumbar, diagnostic 0206 $373 $204 62272 T Spinal puncture, the...
-
Procedure code and Description 00640 (Investigational) ANESTHESIA FOR MANIPULATION OF THE SPINE OR FOR CLOSED PROCEDURES ON THE CERVICAL...
-
ANESTHESIA REIMBURSEMENT METHODOLOGY Code Description Comments 01960 Anesthesia for vaginal delivery only ...
-
EPSDT DENTAL PROGRAM Dental Hospital Calls and Sedation Policy Revisions D9230 NITROUS OXIDE – analgesia, anxiolysis, inhalation of nitr...
-
procedure code and description 69436 - Tympanostomy (requiring insertion of ventilating tube), general anesthesia - average fee payment...

No comments:
Post a Comment