CPT 01967, 01968, 01960, 01961 AND 01969

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 ... Read More

CPT 01967, 01968. 01961 AND 01969

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 ... Read More

Understand Monitored Anesthesia Care

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 ... Read More

BCBS covered anesthesia Modifier list

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 ... Read More

2012 Anesthesia conversion factors for Florida

The revised conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through February 29, 2012, are as follows: Locality               Participating Physician                 Nonparticipating Physician 03                          23.41                                               2.24 04                          24.97                                              23.72 99 (01 & 02)         22.35                                               21.23 The conversion factors for non-medically directed certified registered nurse ... Read More

Puerto Rico state anesthesia conversion factor

2012 Anesthesia conversion factors for Puerto Rico The conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through February 29, 2012, are as follows: Participating Physician        Nonparticipating Physician 19.01                                      18.06 The conversion factors for non-medically directed certified registered nurse anesthetists (CRNAs) are identical to ... Read More

2012 Anesthesia conversion factors for the U.S. Virgin Islands

The revised conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through February 29, 2012, are as follows: Participating Physician      Nonparticipating Physician 21.44                                    20.37 The conversion factors for non-medically directed certified registered nurse anesthetists (CRNAs) are identical to the participating physician anesthesia conversion factors ... Read More

New Anesthesia conversion factor for 2012

The revised conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through February 29, 2012, are as follows: Locality    Participating Physician       Nonparticipating Physician 03             23.41                               22.24 04             24.97                               23.72 99 (01 & 02)  22.35                         21.23 The conversion factors for non-medically directed certified registered nurse ... Read More

Base unit for anesthesia cpt codes

2011 Anesthesia Base units for CPT CodesCODE    2011 BASE UNIT         00100    5        00102    6        00103    5        00104    4        00120    5        00124    4        00126    4        00140    5        00142    4        00144    6        00145    6        00147    4        00148    4        00160    5        00162    ... Read More

CPT codes which are not inclusive in Anesthesia billing

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