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2025 CPT code 01996

Daily hospital management of epidural or subarachnoid continuous drug administration.

This code should not be reported for the initial insertion of the epidural or subarachnoid catheter. Use code 01996 only for the daily management of the continuous drug administration. For the initial placement or insertion of the catheter refer to the iFrameAi product.

Medical necessity for this code is established when continuous epidural or subarachnoid drug administration is required for pain management or other therapeutic purposes, and daily management by an anesthesia provider is deemed necessary to ensure patient safety and optimize treatment efficacy.

The anesthesia provider is responsible for the daily evaluation and management of the patient receiving continuous epidural or subarachnoid drug administration. This includes monitoring the patient's response to the medication, adjusting the dosage as needed, and addressing any complications that may arise.

In simple words: This code covers the daily hospital care provided by an anesthesiologist for patients receiving continuous pain medication through an epidural or subarachnoid catheter.It's for the ongoing management after the catheter has been put in place.

This code represents the daily management of continuous epidural or subarachnoid drug administration in a hospital setting. It applies to the ongoing care provided by the anesthesia provider after the initial insertion of the catheter.The service includes patient evaluation, monitoring of drug delivery, and any necessary adjustments to medication or catheter placement.

Example 1: A patient receiving continuous epidural analgesia for post-operative pain management requires daily monitoring and adjustment of medication by the anesthesia provider., A patient with chronic pain is admitted for continuous intrathecal drug delivery. The anesthesia provider manages the daily drug administration and monitors for any adverse effects., A patient with a spinal cord injury requires continuous subarachnoid administration of pain medication. The anesthesiologist provides daily management of the drug delivery system.

Documentation should include the type of catheter used, the drug administered, the dosage and frequency of administration, the patient's response to the medication, any complications encountered, and the time spent by the anesthesia provider.

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