Recommended Language for Surgeon Requirement to Document Reason for Post-Op Pain Block

-->December 9, 2016Billing & Compliance Alerts

By Bellinger Moody, RHIA, CPC-I, CPC, CCP

Below, please find two sample documents with recommended language and content that you may want to utilize in your practices.  This will assist you in complying with the recent response from CMS that clarified and underscored CMS’s position that the surgeon must document why he or she is requesting a post-op pain block from anesthesia.  Once again, we will continue to monitor this issue and keep you abreast of developments.

Post-op Referral

Post-op Pain Referral