Anesthesia payment

REIMBURSEMENT FOR ANESTHESIA – Utah Medicaid Anesthesia is a global service just as the surgical procedure for which it is given. No pre or postoperative services will be recognized for separate payment, including those for: a. For pain management on the same day as C-section, see section 3-6 and 9-1, Post-Operative Pain Management Policy. b. ... Read More

REIMBURSEMENT FOR ANESTHESIA Rural Services Services performed in rural areas will be reimbursed at 12% higher than the regular fee for anesthesia . The higher fee is available only when the anesthesia services are performed in a rural setting. Payment is not based on patient residence. Basic Value A Basic Value is assigned for anesthetic ... Read More

PAYMENT AND REIMBURSEMENT – Anesthesia Payment at Personally Performed Rate The fee schedule payment for a personally performed procedure is based on the full base unit and one time unit per 15 minutes of service if the physician personally performed the entire procedure. Modifier AA is appropriate when services are personally performed. Payment at Medically ... Read More

PAYMENT AND REIMBURSEMENT – Anesthesia Payment at Medically Supervised RateOnly three (3) base units per procedure are allowed when the anesthesiologist is involved in rendering more than four (4) procedures concurrently or is performing other services while directing the concurrent procedures. An additional time unit can be recognized if the physician can document he/she was ... Read More

Multiple Anesthesia ProceduresPayment may be made under the fee schedule for anesthesia services associated with multiple surgical procedures or multiple bilateral procedures. Payment is based on the base unit of the anesthesia procedure with the highest base unit value and the total time units based on the multiple procedures with the exception of the new ... Read More