Anesthesia billing basic

cpt 38230, 38232, 38240- 38241, S2140, S2142, S2150 – Chronic Myeloid Leukemia

by Niels
Code Description CPT 38230 Bone marrow harvesting for transplantation; allogeneic 38232 Bone marrow harvesting for transplantation; autologous 38240 Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor 38241 Hematopoietic progenitor cell (HPC); autologous transplantation 38242 Allogeneic lymphocyte infusions HCPCS S2140 Cord blood harvesting for transplantation, allogeneic S2142 Cord blood derived stem cell transplantation, allogeneic S2150 Bone ... Read More

Pediatric anesthesia service CPT 99143, 99144 AND 99145

by Niels
Pediatric Moderate (Conscious) Sedation Effective January 1, 2006, Procedure  codes 99141 and 99142 were deleted and have been replaced with Procedure  codes 99143 (Moderate sedation services…provided by the same physician performing the diagnostic or therapeutic service…requiring the presence of an independent trained observer to assist in the monitoring of the patient’s…under 5 years of age, ... Read More

Anesthesia and CRNA Services in a Critical Access Hospital (CAH)

by Niels
Anesthesia Billing for CRNAs When a CRNA is employed by the hospital and a separate anesthesia group is medically directing, reimbursement is shared in some cases, and non-existent in others – depending on several factors.  First, the method of reporting claims.  As previously mentioned, not all carriers recognize split claims or the HCPCS modifiers, and ... Read More

CPT code 62270, 62272, 62273 – Lumbar Puncture

by Niels
Lumbar puncture Procedure code and Description 62270 T Spinal puncture, lumbar, diagnostic 0206 $373 $204 62272 T Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter) 0206 $373 $204 62273 T Injection, epidural, of blood or clot patch 0207 $672 $368 What is a Lumbar Puncture? Fluoroscopy is a special form of ... Read More

Anesthesia for CAT Scans and MRI Procedures

by Niels
Payment can be made for anesthesia for computerized axial tomography (CAT) or magnetic resonance imaging (MRI) scans by Blue Cross if there is documentation supporting the medical necessity of the anesthesia such as: • Convulsive disorders; • Tremors of the head and body; • Cerebral palsy, Parkinson’s Disease; • Children too young to cooperate, and/or ... 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 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

CPT code 01952, 01996

by Niels
Anesthesia for Burns CPT code 01952 is the primary code for billing Anesthesia for Second and Third Degree Burn Excision or Debridement With or Without Skin Grafting. The add-on CPT code 01953 is not considered an anesthesia management service and should not be reported with time. CPT code 01953 may be reported with units of ... Read More

Anesthesia and Medical/Surgical Service Provided by the Same Physician

by Niels
Anesthesia services range in complexity. The continuum of anesthesia services, from least intense to most intense in complexity is as follows: local or topical anesthesia, moderate (conscious) sedation, regional anesthesia and general anesthesia. Prior to 2006, Medicare did not recognize separate payment if the same physician provided the medical or surgical procedure and the anesthesia ... Read More

When to use Modifier 59, 73, 74 IN Anesthesia billng?

by Niels
59 Distinct Procedural Service — Services with modifier 59 may be subject to review of medical records. Under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-E/M services performed on the same day. Modifier 59 is used to identify procedures/services, other than E/M services, ... Read More