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October 2004 · Vol. 16, No. 10

REIMBURSEMENT ADVISER

Placing an ON-Q: Incidental to surgery?

Melanie  Witt,,  RN, CPC, MA

Ms. Witt, former program manager in the Department of Coding and Nomenclature at the American College of Obstetricians and Gynecologists, is an independent coding and documentation consultant. Reimbursement Adviser reflects the most commonly accepted interpretations of CPT-4 and ICD-9-CM coding. When in doubt on a coding or billing matter, check with your individual payer.

Q

Can I bill for placing an ON-Q device during surgery?

A

The ON-Q Elite (I-Flow Corporation, Lake Forest, Calif) is a system that automatically delivers local anesthesia into a surgical incision. It consists of a small electronic, reusable pump that has a single-use, disposable bag and tubing set to hold the anesthetic, plus a tiny tube to deliver it.

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