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My group thinks they may be able to collect some more units by performing a separate postoperative evaluation of patients that have received Duramorph for postoperative pain control (typically only our C-section pts since our orthopods hate Duramorph). One of my other colleagues thinks that if he does a combined spinal/epidural with Fentanyl he can also perform a postoperative visit since he states "any opiate in the neuraxis" is included...which seems like a stretch. It makes sense with indwelling catheters but has anyone had luck with Duramorph or Fentanyl in the neuraxis (spinal or epidural)? I tried looking at the CMS guidelines but am just curious if anyone has been successful with their billing company or has any literature sources.