November 2, 2017
My doctor documents that she does bilateral intercostal chest blocks as well as bilateral TAP blocks to the abdomen and rectus fascia when she does breast reconstruction procedures. I want to bill for these but my plastic surgeon thinks they are not billable?
We agree with your surgeon. These services are performed through the same surgical exposure for postoperative pain management; therefore, the services are included in the primary procedure code for the breast reconstruction procedure and not separately billable with injection codes.
*This response is based on the best information available as of 11/02/17.