Hi! My name is Dianne C. Moseley. I’m a healthcare professional with over 32 years of experience in revenue cycle management. Throughout my career, I’ve worked in every area of RCM, gaining a true understanding of how each part connects to the bigger picture.
I am currently certified through AAPC with my CPC, CPCO, CPMA, and CANPC.
For the past 15 years, I’ve focused my expertise on anesthesia — a specialty I’m deeply passionate about. I currently work with a large anesthesia group, as a Senior Auditor serving as a Subject Matter Expert, where I focus on optimizing coding accuracy, compliance, education, and revenue integrity. My passion lies in education, process improvement and helping others to succeed.
This blog is a space where I will share practical insights, tips, and real-world guidance on anesthesia coding. My goal is to make complex concepts clear, support continuous learning, and help others feel confident navigating the anesthesia coding landscape.
Do you ever have trouble showing yourself grace? I tell people all the time to give themselves grace — to breathe, to be kind to themselves, to remember that progress is still progress. But if I’m honest, I don’t always take my own advice.
It’s funny how easy it is to see the good in others, to remind them that they’re doing their best, yet hold ourselves to impossible standards.
So today, I’m reminding myself (and maybe you too): Grace isn’t weakness. It’s giving yourself permission to be human. 🌿
Welcome to my blog for anesthesia coding. I am excited to be able to share with you the knowledge that I have regarding anesthesia coding and I am looking forward to learning from you as well.
To get started, let me introduce myself and give you a little background. My name is Dianne C. Moseley. I’m a healthcare professional with over 32 years of experience in revenue cycle management. Throughout my career, I’ve worked in every area of RCM, gaining a true understanding of how each part connects to the bigger picture. I am currently certified through AAPC with my CPC, CPMA, and CPCO.
For the past 15 years, I’ve focused my expertise on anesthesia — a specialty I’m deeply passionate about. I currently work with North American Partners in Anesthesia, as a Senior Auditor serving as a Subject Matter Expert, where I focus on optimizing coding accuracy, compliance, education, and revenue integrity. My passion lies in education, process improvement and helping others to succeed.
This blog is a space where I will share practical insights, tips, and real-world guidance on anesthesia coding. My goal is to make complex concepts clear, support continuous learning, and help others feel confident navigating the anesthesia coding landscape.
I ask that everyone please be respectful of each other. If we make errors, be kind and point out to us where we went astray. This blog has been set up to be a safe place to learn and ask questions without judgement. Regardless of how long you have coded or audited, there is always something new to learn. Let’s show each other kindness.
Welcome to In the Zone Newsletter, a resource designed to keep you informed, updated, and empowered in the evolving world of anesthesia. This publication is dedicated to coding professionals, anesthesia providers, billers, and compliance teams who play a vital role in ensuring accurate documentation, compliance, and reimbursement.
Disclaimer: Chart Talk: Anesthesia Coding Conversations is intended for educational and informational purposes only. The content shared does not constitute legal, billing, compliance, or reimbursement advice. Coding, billing, and reimbursement decisions should be based on official sources such as CPT®, ICD-10-CM, ASA guidelines, payer policies, and individual facility policies, as well as the specific documentation in the medical record. Users are encouraged to consult authoritative resources and/or their compliance department for guidance applicable to their organization.
A genicular nerve block (CPT 64454) is a minimally invasive procedure for chronic knee pain, particularly from osteoarthritis or after knee replacement surgery. It involves injecting a local anesthetic near the genicular nerves – a network of sensory nerves that transmit pain signals from the knee joint to the brain.
The three primary targets are: Superior lateral vehicular nerve (SLGN) Superior medial vehicular nerve (SMGN) Inferior medial vehicular nerve (IMGN)
A VI block (vastus intermedius) is a specific type of injection that can be included in a more comprehensive genicular nerve block to treat knee pain. A standard genicular nerve block target three main genicular nerves, but advanced versions may include the VI for broader pain coverage.
Disclaimer: Chart Talk: Anesthesia Coding Conversations is intended for educational and informational purposes only. The content shared does not constitute legal, billing, compliance, or reimbursement advice. Coding, billing, and reimbursement decisions should be based on official sources such as CPT®, ICD-10-CM, ASA guidelines, payer policies, and individual facility policies, as well as the specific documentation in the medical record. Users are encouraged to consult authoritative resources and/or their compliance department for guidance applicable to their organization.
Everyone has a dream tucked somewhere inside—a vision of the life they want to live, the impact they want to make, or the role they long to step into. But between the dream and the reality often stands something powerful: fear. Fear of failure. Fear of judgment. Fear of not being “ready.”
After years of experience in anesthesia coding, I’m ready to take a chance on my true passion — teaching and empowering others to master this complex, fascinating specialty. My goal is to make anesthesia coding understandable, accurate, and approachable for everyone.
The truth is, no one ever feels completely ready to chase something big. But dreams aren’t achieved in giant leaps—they’re built step by step, through courage, consistency, and clarity.
1. Acknowledge Your Dream
Your dream matters. Naming it clearly is the first step toward bringing it to life. Be honest with yourself about what you want—not just what feels safe or practical.
“A dream not pursued is a story never told.”
2. Face the Fear with Compassion
Fear doesn’t mean you should stop. It means the dream matters. Instead of trying to “get rid” of the fear, recognize it and keep moving anyway. Confidence grows after action—not before it.
3. Break It Down Into Steps
Big goals feel overwhelming when you look at the finish line instead of the first step. Create small, achievable actions: – Write down your vision – Identify one action you can take this week – Set realistic timelines – Celebrate progress (not perfection)
4. Seek Support and Accountability
Surround yourself with people who believe in your vision—or at least in you. Accountability partners, mentors, or supportive colleagues can help you stay motivated when self-doubt creeps in.
5. Start Before You Feel Ready
Waiting for the perfect time often means waiting forever. Most successful journeys begin with an imperfect first step. Momentum is built in motion—not in hesitation.
6. Grow Through the Journey
Even if the path changes along the way, the lessons, growth, and confidence you gain are priceless. Pursuing a dream isn’t just about the destination—it’s about becoming the person you’re meant to be.
Your dream isn’t too big, and you’re not too late. You don’t need to have it all figured out to begin. Start small. Keep going. The steps you take today are the foundation of the future you want.
