Anesthesia Billing Guidelines Reminder and Reference

The following is a reminder of the billing guidelines for anesthesia services for  UnitedHealthcare Community Plan:  Anesthesia Services – General or monitored anesthesia management services must be submitted with a CPT anesthesia code 00100-01999, except 01953 and 01996. Refer to the Anesthesia Management Codes in the Anesthesia Policy for all applicable codes.  Time ... Read More

Definition of Concurrent Medically Directed Anesthesia Procedures with time calculation example

Concurrency is defined with regard to the maximum number of procedures that the physician is medically directing within the context of a single procedure and whether these other procedures overlap each other. Concurrency is not dependent on each of the cases involving a Medicare patient. For example, if an anesthesiologist directs three concurrent procedures, two ... Read More

billing anesthesia time units – calculation for personally performed and Medical direction

Anesthesia Payment & Billing Information Time and Points Eligible Anesthesia Procedures Defined Blue Cross and Blue Shield of Texas has 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 using time and ... Read More

Anesthesia Time and Calculation of Anesthesia Time Units

Anesthesia time is defined as the period during which an anesthesia practitioner is present with the patient. It starts when the anesthesia practitioner begins to prepare the  patient for anesthesia services in the operating room or an equivalent area and ends when the anesthesia practitioner is no longer furnishing anesthesia services to the patient, that ... Read More

How to calculate anesthesia time and reporting CMS 1500 and EDI

ANESTHESIA TIME Anesthesia time begins when the anesthesiologist starts to prepare the patient for the procedure. Normally, this service takes place in the operating room, but in some cases, preparation may begin in another location (i.e., holding area). Anesthesia time is a continuous time period from the start of anesthesia to the end of an ... Read More

Anesthesia Start Time – When Does it Start?

Anesthesia Start Time – When Does it Start? Anesthesia time starts when the anesthesiologist begins to prepare the patient for anesthesia care in the operating suite or equivalent area. Time ends when the anesthesiologist is no longer in personal attendance and the patient may be safely placed under post-operative supervision Medicare requires the actual time ... Read More

what is base unit and time unit.

Base Units Each anesthesia code (procedure codes 00100-01999) is assigned a base unit value by the American Society of Anesthesiologists (ASA) and used for the purpose of establishing fee schedule allowances. Anesthesia services are paid on the basis of a relative value system, which include both base and actual time units. Base units take into ... Read More

Start, Stop and Total Anesthesia Time

Anesthesia Medical Start, Stop and Total Anesthesia Time Claims billing for more than 40 units of time (10 hours) require that an anesthesia report be attached to the claim.  The anesthesia report must include anesthesia start, stop and total times. CPT-4 Code 01967 Billing Requirements: For CPT-4 code 01967 (neuraxial labor analgesia/anesthesia for planned vaginal ... Read More