Anesthesia Payment Reimbursement Examples

REIMBURSEMENT EXAMPLES (Time Units + Base Units) x Conversion Factor = Allowance Texas Example 1(This is an example only. Providers should check their current anesthesia conversion factors for correct fee amounts.)Rev. 01/2010 24 Reimbursement ExamplesCode: 00830Time: 120 minutesLocality: Rest of state (participating physician)Time: 120/15 = 8 unitsCode: 00830 = 4 units12 unitsConversion factor $19.84Total units…

Payment For Multiple Anesthesia Services With Modifier

MULTIPLE ANESTHESIA SERVICES Same Operative SessionPayment can be made for anesthesia services associated with multiple surgical procedures. The payment is based on the anesthesia procedure with the highest base unit value. The time units will equal the actual anesthesia time for both procedures. Example:Provider Date of Service Procedure Time Base UnitsABC 01/01/2009 00700 AA 2…

Anesthesia Billing Payment Formula

The allowance for anesthesia services is based on the following formula: Rev. 01/2010 13 Anesthesia Formula(Time Units + Base Units) X Conversion Factor = Allowance Anesthesia time is a continuous time period from the start of anesthesia to the end of an anesthesia service. In counting anesthesia time, the anesthesia practitioner can add blocks of…

Anesthesia Payment when CRNA and Anesthesiologist in a Single Anesthesia Procedure

CRNA and Anesthesiologist in a Single Anesthesia Procedure When a single anesthesia procedure involves both a physician medical direction service and the service of the medically directed CRNA, the payment amount for the service of each is 50 percent of the allowance otherwise recognized had the service been furnished by the anesthesiologist alone. The CRNA…

CRNA Payment And Reimbursement Explained

CRNA Reimbursement Payment can be made for medical or surgical services furnished by non-medically directed qualified anesthetists if they are allowed to furnish these services under state law. These services may include the insertion of the Swan-Ganz catheters, central venous pressure lines, intra-arterial lines, pain management, emergency intubation and the pre-anesthetic examination and evaluation of…