Modifier question on anethesia claims?

Q. What defines medical direction? For each anesthesia procedure, the anesthesiologist must perform all of the following seven services and they must be recorded in the anesthesia record: 1. Perform a pre-anesthetic examination and evaluation; 2. Prescribe the anesthesia plan; 3. Personally participate in the most demanding procedures of the anesthsia plan including, if applicable, ... Read More

Anesthesia add on code 99100, 99116, 99135 and 99140

Not reimbursed separately but should be billed when appropriate  99100 – Anesthesia for Patient of Extreme Age, Under 1 Year and Over 70 99116 – Anesthesia Complicated By Utilization of Total Body Hypothermia 99135 – Anesthesia Complicated By Utilization of Controlled Hypotension 99140 – Anesthesia Complicated By Emergency Conditions Non-reimbursable Services Services billed by anesthesia ... Read More

Anesthesia and CRNA billing question?

Q. Why has Blue Cross made a decision to contract with CRNAs and AAs? Healthcare Reform Provider Non-discrimination PPACA § 1201; PHSA § 2706(a) NON-DISCRIMINATION IN HEALTH CARE requires that group health plans and health insurers shall not discriminate against health care providers acting within the scope of their license or certification under the laws ... Read More

BILLING Guide CPT code 00300

Anesthesia for all procedures on the integumentary system,muscles and nerves of head, neck and posterior trunt, not otherwise specified. Anesthesia for lesion removal is usually performed by the surgeon, If because of the size of the lesion, age or mental status of the patient, or if other conditions are present, the medical necessity of an ... Read More

Anesthesia claim payment process

Anesthesia claims are paid based on the following:  Time units + Base unit x Anesthesia Conversion factor. Neighborhood uses the Centers for Medicare and Medicaid Services (CMS) base unit values. · Anesthesia Personally Performed by Anesthesiologist or CRNA (AA or QZ Modifier) (Total Time Units + Base Unit) x Anesthesia Conversion Factor x Modifier Adjustment ... Read More

CPT Code for Spinal Anesthesia

CPT code for Anesthesia for extensiveee spine and spinal cord procedures is 00670. RVG comment : Code 00670 is appropriate only if the surgical procedure includes segmental or   non-segmental instrumentation as defined in CPT or if the procedure includes multiplle  verteebral segments (minimum three vertebral bodies with the two associated interspaces.) 00600-00670 Anesthesia for ... Read More

Procedure code 99100, 99116, 99135, 99140 – Billing tips

Anesthesia services are provided under difficult circumstances which may affect the condition of the patient, or present unusual operative conditions and / or risk factors. Codes and Definitions 99100 Anesthesia for patient of extreme age, younger than 1 year and older than 70 (List separately in addition to code for primary anesthesia procedure) 99116 Anesthesia ... Read More