Anesthesia billing basic

Types of Anesthesia and Anesthesia Services

by Niels
Anesthesia Service by the Surgeon: Anesthesia services personally furnished by the physician performing the surgical, therapeutic or diagnostic procedure are considered an integral component of the primary procedure. This may include local injections, regional blocks, and intravenous medication. General anesthesia administered and monitored by the surgeon is not considered medically appropriate. Balanced Anesthesia: Anesthesia that ... Read More

Anesthesia Medically Necessary- when will be considered.

by Niels
General Anesthesia or Regional Anesthesia Administration of general or regional anesthesia is considered medically necessary when both of the following criteria are met: a. The services are provided by an individual other than the attending physician performing the procedure; AND b. Alternative types of anesthesia, sedation, or analgesia are not appropriate. If general or regional ... Read More

Anesthesia billing services – BCBS

by Niels
Anesthesia Payment & Billing Information – BCBSTime and Points Eligible Anesthesia Procedures Defined HMO Blue Texas and Blue Cross and Blue Shield of Texas have determined that certain anesthesia procedures will be reimbursed on time and points methodology. Procedures that are not included on the Anesthesia Time & Points Eligible List will not be reimbursed ... Read More

Anesthesia billing services – BCBS

by Niels
Anesthesia Payment & Billing Information – BCBSTime and Points Eligible Anesthesia Procedures Defined HMO Blue Texas and Blue Cross and Blue Shield of Texas have determined that certain anesthesia procedures will be reimbursed on time and points methodology. Procedures that are not included on the Anesthesia Time & Points Eligible List will not be reimbursed ... Read More

Four Ways to Bill Anesthesia for One-Lung Ventilation

by Niels
Anesthesia providers sometimes provide one-lung ventilation for procedures when the surgeon needs a quiet field to operate on, as with lung resection, thoracic aortic repair and some thoracic vertebrae or gastric surgeries. Although an ASA code exists for one-lung ventilation, the new code is not in CPT, so providers are finding that reimbursement is difficult ... Read More

how BCBS calculate payment for Aneshthesia billing?

by Niels
Anesthesia Payment & Billing Information – BCBS Payment Calculation Information Time Units  : Time units will be determined by using the total time in minutes actually spent performing the procedure. Fifteen minutes is equivalent to one (1) time unit. Time units will be rounded to the tenth. Therefore, if the procedure lasted 49 minutes, the ... Read More

Anethesia billing – Introduction

by Niels
Anesthesia care conventionally includes all services associated with the administration of analgesia/anesthesia, provided by an anesthesiologist and/or certified registered nurse anesthetist (CRNA)1 to a patient undergoing a surgical or other invasive procedure so that intervention can be undertaken. This may involve local, regional, epidural, general anesthesia ormonitored anesthesia care (MAC), and usually involves administration of ... Read More

Anesthesia Billing for CRNAs

by Niels
When filing claims through the Medicare program and the CRNA is employed by the anesthesiologists, reimbursement for “medically directed” by an anesthesiologist and “non-medically directed” are revenue neutral – meaning reimbursement is equal to the same amount.  For example, when medical direction modifiers “QK and QX” are reported (see table below), reimbursement is divided equally ... Read More

Certified Registered Nurse Anesthetist billing

by Niels
Anesthesia Billing for CRNAs A timely topic if ever there was one!  This issue continues to be a source of confusion to physician offices, billers, hospitals, and insurance companies, too. A Certified Registered Nurse Anesthetist (CRNA) is an advanced practice nurse who is an anesthesia specialist and may administer anesthesia independently or under physician “medical ... Read More

Radiologic Anesthesia Coding

by Niels
In keeping with standard anesthesia billing guidelines for Medicare, only one anesthesia code may be reported for anesthesia services provided in conjunction with radiological procedures. Radiological Supervision and Interpretation (S & I) codes will usually be applicable to radiological procedures being performed. The appropriate S & I code may be reported by the appropriate provider ... Read More