Monday, 18 April 2011

Pain management cpt codes 62310, 62319, 64415 - 64449

Pain Management - Anesthesia

Pain Management Consultation

Evaluation and management services for postoperative pain control on the day of surgery are considered part of the usual anesthetic services and are not separately reportable. When medically necessary and requested by the attending physician, hospital visits or consultative services are reportable by the anesthesiologist during the postoperative period. However, normal postoperative pain management, including management of intravenous patient controlled analgesia, is considered part of the surgical global package and should not be separately reported.

Postoperative Pain Control Procedures

When provided principally for postoperative pain control, peripheral nerve injections and neuraxial (spinal, epidural) injections can be separately reported on the day of surgery using the appropriate CPT procedure with modifier -59 (Distinct Procedural Service) and 1 unit of service. Examples of such procedures include:

62310-62319           Epidural or subarchnoid injections
64415-64416           Brachial plexus injection, single or continuous
64445-64448           Sciatic or femoral injections, single or continuous
64449                       Lumbar plexus injections, continuous

These services should not be reported on the day of surgery if they constitute the surgical anesthetic technique.

NOTE: Modifier 59 requires that the medical record substantiate that the procedure or service was a distinct or separate services performed on the same day.

Daily Management of Continuous Pain Control Techniques

Daily hospital management of continuous epidural or subarachnoid drug administration is reported using CPT code 01996 (1 unit of service daily). This code may be reported on the first and subsequent postoperative days as medically necessary.

When continuous block codes 64416, 64446, 64448, or 64449 are reported on the day of surgery, no additional reporting of daily management is permitted during the following ten days (10 day global period). When these injections procedures constitute the main surgical anesthetic and are therefore not separately reported on the day of surgery, subsequent days’ hospital management is reported using the appropriate hospital visit code (99231-99233).


  1. I was actually just made aware of the types of changes that have been made to pain management billing. I think they will definitely help us.

  2. Thanks for the pain management billing information. I have been wondering what it is.

  3. Hi
    I am Steve Gray Stevenson, a member of some Medical coding & Billing community. I had landed on your site “" and found the articles really worth reading. The quality of your content is so good, that it made me request you something. I love to write medical coding and billing articles and would like to contribute something for your site. I can give you an original guest post and if you want, you can suggest me the topic also and I will write accordingly. Not only that, I will give you the total rights to edit the article and modify it as per your needs.

    In response I expect you to give a link back to one of my endorser who helps me to continue my passion and serve individual sites and blogs like yours.

    Please let me know your thoughts. Waiting for your positive.
    Steve Gray Stevenson

  4. Nice post. There are many people searching about this topic. Now they will find some resources on your post. Thank you for sharing.

    Need help in billing? Please visit:
    Medisoft Software

  5. This comment has been removed by the author.

  6. Really a totally new kind of thing i've heard about this..

    Search for Pain management denver

  7. It has been some time since I visited website with such high quality information. Thank you so much for providing such helpful information. This is really informative and I will for sure refer my friends the same. Thanks.
    pain management clinic

  8. Helpful information has been given in this article.
    Pain Doctors In Las Vegas

  9. good post. I just read your blog and wanted to say that I have really enjoyed reading your blog posts.Keep update with your blogs..

    Best CPC Certification in Hyderabad


  10. The article provided by you is very nice and it is very helpful to know the more information.keep update with your blogs .I found a article related to you..once you can check it out.

    Medical coding CPC training

  11. Hello,Thanks for sharing your info. I really appreciate your efforts and I will be waiting for your further write ups thanks once again.
    CPC Certification Hyderabad