Advancements of Acute Pain Management in Anesthesia


Incorporation of acute pain modalities within anesthesia practices has greatly expanded over the years, and this has brought positive changes in patient care and physician payment. However, where new techniques become "standard of care," adjustments.

As the preeminent provider of outsourced anesthesia billing and management services in America, we are always interested in how anesthesia providers are modifying their practices to take advantage of new pain management modalities and changing patient expectations. Anesthesia is not just focused on the operating room and the delivery suite. It is increasingly concerned with the entire perioperative episode. That includes the diagnosis and treatment of the patient's post-operative pain.

The increasing usage and recognition of acute pain modalities are reflected in the ongoing changes we find in America's medical coding canon. The CPT manual identified three primary acute pain procedures up until two years ago when new codes were added for TAP blocks. These procedures were interscalene blocks, femoral blocks and sciatic blocks, with each being defined quite narrowly by CPT based on the primary nerve sheath injected. What we are seeing now, however, is a dramatic expansion of available acute pain codes based on new approaches and techniques. For example, while Code 64415 is defined as a brachial plexus injection, most anesthesia providers perform variations on the theme—which our coders are able to accurately interpret and capture. The table below provides an illustration of these coding nuances, as well as their historic utilization.

Our esteemed journal PULACR is looking forward for the upcoming issue (Volume3: Issue 1) for the upcoming year issue as all the authors are invited to submit their recent scientific work through manuscripts in the mode of Research/Case Reports/Case Studies/Reviews/Short Review/ Short Communications/Commentaries/Short Commentaries/Letters to Editor/ Image articles etc.,

Our Journal welcomes submissions of manuscripts on the topics covering Anesthesia ,Anesthetics, Local Anesthesia, Spinal Anesthesia, Critical Care, Perioperative medicine, Airway Management, etc., In the quality perspective, the journal is determined to maintain an exceptionally high standard in both facts and ethics. Accuracy and authenticity in the scientific reports of present journal are conserved above all nominal needs of the time.

A standard editorial manager system is utilized for manuscript submission, review, editorial processing and tracking which can be securely accessed by the authors, reviewers and editors for monitoring and tracking the article processing. Manuscripts can be uploaded online at Editorial Tracking System  or as email attachment to

Thanks and Regards,
Elisha Marie,
Editorial Manager,
Editorial Team,
Anesthesiology Case Reports: Open-Access
Contact: +44-20-3608-4181