Spinal for TKA and THA post-op pain

I am curious as to ya'lls thoughts on this. I have learned that some docs are placing a plain Bupivacaine spinal for a TKA or THA, then routinely laying the patient down and placing a LMA and starting inhalational anesthetic. The patient gets a periarticular cocktail injection from the surgeon prior to closing. The patient is then billed for a GA and the plain local spinal is billed as a post-op pain procedure, even though the post-op pain relief is only the time between the 60-90 min of... Spinal for TKA and THA post-op pain
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums