We do US guidance for the majority of our nerve blocks and use the 26, 59 modifiers. If the block is done for post op pain control, we bill the block and the US. If the block is done for surgical anesthesia, we only bill the US, not the block. We DO get paid for these. Is anyone else billing like this?

Also, if the block is done for surgical anesthesia with US, DURING the procedure, can we still bill the US separately? This is the one that our auditor is having an issue with.