Anesthesia basics

CPT CODE 64450, 64415, 64405, 01630, 01820, 01400

by Niels
cpt code and description 64450 – Injection, anesthetic agent; other peripheral nerve or branch – average fee amount – $80 – $100 64405 INJECTION, ANESTHETIC AGENT; GREATER OCCIPITAL NERVE 64415 – Injection, anesthetic agent; brachial plexus, single Average fee amount – $110 – $130  01630 – Anesthesia for open or surgical arthroscopic procedures on humeral ... Read More

CPT CODE 99143, 99144 AND 99145

by Niels
CPT CODE and Description 99143 – Moderate sedation services (other than those services described by codes 00100-01999) provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level ... Read More

Anesthesia Billing Guidelines Reminder and Reference

by Niels
The following is a reminder of the billing guidelines for anesthesia services for  UnitedHealthcare Community Plan:  Anesthesia Services – General or monitored anesthesia management services must be submitted with a CPT anesthesia code 00100-01999, except 01953 and 01996. Refer to the Anesthesia Management Codes in the Anesthesia Policy for all applicable codes.  Time ... Read More

How to maintain document for Anesthesia billing

by Niels
C. Documentation For Anesthesia Record  General Documentation Requirements for all services:  · Anesthesia services performed, including exact time spent performing anesthesia services, must be documented in the anesthesia record to support billing. · Rendering practitioner/qualified healthcare professional must note their credentials and legibly sign and date the record. · Member identifying information must be present ... Read More

Modifier question on anethesia claims?

by Niels
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

by Niels
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?

by Niels
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

by Niels
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

by Niels
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

by Niels
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