A modifier is a two-position alpha or numeric code appended to a CPT code to clarifthe services being billed. Modifiers provide a means by which a service can be altered without changing the procedure code. They add more information, such as the anatomical site, to the code. In additional, they help to eliminate the appearance…
Services involving administration of anesthesia are reported by the use of the anesthesia procedure codes (00100-01990, 01999) plus an appropriate modifier(s). Body Area CPT Codes Head CPT 00100 – 00222Neck CPT 00300 – 00352Thorax (chest and shoulder) CPT 00400 – 00474Intrathoracic CPT 00500 – 00580Spine and Spinal Cord CPT 00600 – 00670Upper Abdomen CPT 00700…
The following article includes anesthesia billing guidelines, and official definitions. Definitions • Anesthesia – the introduction of a substance into the body by external or internal means that causes loss of sensation (feeling) with or without loss of consciousness. • Anesthesiologist – a physician (M.D. or D.O.) who specializes in anesthesiology. Anesthesiologists are medical doctors…
ANESTHESIA REIMBURSEMENT METHODOLOGY Code Description Comments 01960 Anesthesia for vaginal delivery only Bill when no neuraxial/anesthesia is involved with vaginal delivery; not reimbursed with 01967 01961 Anesthesia for Cesarean delivery only Use to report anesthesia services…
ANESTHESIA REIMBURSEMENT METHODOLOGY Code Description Comments 01960 Anesthesia for vaginal delivery only Bill when no neuraxial/anesthesia is involved with vaginal delivery; not reimbursed with 01967 01961 Anesthesia for Cesarean delivery only Use to report anesthesia services…
Intra-operative monitoring by an anesthesiologist, physician, or other qualified individual under the medical direction of the anesthesiologist, of the patient’s vital physiological signs in anticipation of the need for administration of general anesthesia or of the development of adverse physiological patient reaction to the surgical procedure. MAC is eligible for coverage when performed by the…
Anesthesia Modifiers Modifiers are two-digit indicators that are used with a procedure code to add specific meaning to a service provided. Every anesthesia administrative code billed to BCBSF must include a modifier. More than one modifier can be submitted per detail line; however, the BCBSF claims system will adjudicate the claim based only on the…
The following modifiers should be used as secondary or tertiary modifiers only and not as the primary modifier. These modifiers are intended to provide additional information specific to the services provided; there will be no additional reimbursement made for these modifiers. Modifier Description 22 Increased Procedural Service — Per CPT Appendix A modifiers: When the…
Intravenous medicines for anesthesia Intravenous (IV) anesthetic medicines are given into a vein. They can be given quickly and are rapidly absorbed into the blood. IV anesthetics are used to relieve pain (analgesia), to relax (sedate), to induce sleepiness (hypnosis) or forgetfulness (amnesia), or to make you unconscious for general anesthesia. Most IV anesthetics cannot…
Anesthesia and E/M services Anesthesia services are billed using CPT® codes 00100-01999. These CPT® codes are cross-walked to surgical codes. The crosswalk is available from the American Society of Anesthesiologists at www.asahq.org. Each anesthesia code has a base unit assigned to it. The anesthetist also bills the number of time units, with a single unit…
