CommercialCoverageMedium impact
Postoperative Pain Management
Blue Cross & Blue Shield of Mississippi·MS · Anesthesiology, General Surgery, Orthopedics +1 more·Medical Policy
Effective date
Mar 13, 2025
We identified it
Jun 20, 2026
Summary
This BCBS Mississippi policy outlines billing rules for postoperative pain management, specifying that IV patient-controlled analgesia (PCA) cannot be billed separately as it's included in anesthesia global fees, while certain epidural procedures and single narcotic injections can be billed with specific CPT codes. The policy was reviewed on March 13, 2025 with no changes.
Action Required
Immediately: Billing team must ensure IV patient-controlled analgesia (PCA) is not billed separately using CPT 01999, as it's included in anesthesia global fees. For epidural pain management, bill CPT 62324/62325 once on first day, then CPT 01996 for daily management (not same day). Single narcotic injections can be billed separately using appropriate CPT codes. Update billing software rules to prevent separate PCA billing.