A. GENERAL BILLING INFORMATION
Electronic (EDI) HIPPA 5010 compliant 837P format claim submission – Submit total time in minutes in the appropriate field
Paper claim submission
– Submit claim using the most current CMS-1500 form.
– Submit total minutes in the unit field.
– Submit actual start and stop time (ex. 12:00 to 13:00 or 12:00 pm to 1:00 pm) on the claim form above the anesthesia CPT code field.
All claims for anesthesiologists and CRNAs must be billed under the name and National Provider Identifier (NPI) of the provider who actually rendered the service. “Incident to” billing for anesthesia services is not recognized by Neighborhood. All providers should render services based on the scope of their particular license.
Anesthesia Service Codes *not an all-inclusive list
CPT Code – 00100 to 00936, 00940 to 01999, 62273, 99100 to 99150
HCPCS Code – D9220, D9221 (D-codes only covered for oral surgery)