Anesthesia billing basic

Medical direction may apply to a single anesthesia service furnished by a CRNA or up to four concurrent anesthesia services. A physician who is directing the administration of anesthesia to four surgical members is not expected to be involved routinely in furnishing any additional services to other members. Addressing an emergency of short duration in ... Read More

Patient Controlled Analgesia Patient controlled analgesia (PCA) services are reimbursable when they are administered by an anesthesiologist and are performed for the control of postoperative pain. A separately identifiable physician-recipient encounter should be reflected in the medical record documentation. PCA pumps are usually administered through an intravenous (IV) line or the PCA pump is connected ... Read More

Anesthesia methods There are several ways that anesthesia can be given. Local anesthesia involves injection of a local anesthetic (numbing agent) directly into the surgical area to block pain sensations. It is used only for minor procedures on a limited part of the body. You may remain awake, though you will likely receive medicine to ... Read More

MATERNITY-RELATED ANESTHESIA The CPT codes listed below are for reporting maternity-related anesthesia services. WV Medicaid limits payment for maternity anesthesia to eight “Time Units”. (A maximum of two hours) Base units may not be billed separately. • 01960 – Anesthesia for vaginal delivery only • 01961 – Anesthesia for cesarean delivery only • 01967 – ... Read More

Limitations Based on the CPT Definitions 99143–99145  An independent trained observer whose sole duty is to monitor the patient’s level of consciousness and physiological status must be present throughout the diagnostic or therapeutic service. The anesthesia note must identify this person and his credentials (e.g., RN, NPP, PA).  “Intra-service time starts with the ... Read More