Month: March 2011

CPT codes which are not inclusive in Anesthesia billing

by Niels
CPT® codes describing services that are integral to an anesthesia service include but are not limited to, the following: •  99201-99499 (Evaluation and management) The CPT® book, in its Anesthesia Guidelines, at the start of the Anesthesia section, states, “These services include the usual preoperative and postoperative visits….” In a copy of a lecture presented ... Read More

will peroperative assement inculsive in anesthesia billing?

by Niels
Citations: Preoperative assessment is included in the payment for the anesthesia services, per the National Correct Coding Initiative (NCCI). HCPCS/CPT® codes include all services usually performed as part of the procedure as a standard of medical/surgical practice.  A physician should not separately report these services simply because HCPCS/CPT® codes exist for them. 1. The anesthesia ... Read More

Anesthesia cpt code procedure qualifiying factor and description units.

by Niels
Procedure Codes and Modifiers Anesthesia providers are required to utilize the appropriate anesthesia code identified in the current Relative Value Guide published by the American Society of Anesthesiologists. Time in attendance should be billed by listing total minutes HP will calculate total units by dividing the total minutes (reported in block 24G) by 15, rounding ... Read More

Anesthesia claim filing limit and copayment for anesthesia services

by Niels
Time Limit for Filing Claims Medicaid requires all claims for Anesthesiologists, CRNAs and AAs to be filed within one year of the date of service. Refer to Section 5.1.4, Filing Limits, for more information regarding timely filing limits and exceptions. Diagnosis Codes The International Classification of Diseases – 9th Revision – Clinical Modification (ICD-9-CM) manual ... Read More

Very rare COMPLICATIONS and SIDE EFFECTS of anesthesia services

by Niels
COMPLICATIONS and SIDE EFFECTS Very rare (1/10,000 – 1/200,000) DAMAGE TO THE EYES: Anaesthetists take great care to protect your eyes. Your eyelids are held closed with adhesive tape, which is removed before you wake up. However, sterilizing fluids could leak past the tapes or you could brush your eyes as you wake up after the ... Read More

Uncommon complication and side effects of anesthesia

by Niels
COMPLICATIONS and SIDE EFFECTS  Uncommon (1/1,000) CHEST INFECTION: A chest infection is more likely to happen to people who smoke, and may lead to breathing difficulties. This is why it is very important to give up smoking for as long as possible before your anaesthetic. BLADDER PROBLEMS: After certain types of operation and regional anaesthesia ... Read More