The typical code billed for this service is “subsequent inpatient visit” code 99231 (2 units). The physician must see the patient on a post-operative day and document a progress note to include a problem focused history and exam with straightforward medical decision making. Due to this fact, Medicare does not allow anesthesiologists to bill for this service. As is always the case, reimbursement will vary by payer.
Listed below are the five most common approaches and their corresponding claims submission guidelines. The variety of commonly used modalities for the management of post-operative surgical pain makes it imperative that practitioners understand the specific documentation and billing requirements of each option.
Director of Compliance and Client Services, ABC
