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…
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…
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 delivery…
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 besubmitted with a CPT anesthesia code 00100-01999, except 01953 and 01996. Refer tothe Anesthesia Management Codes in the Anesthesia Policy for all applicable codes. Time Reporting –…
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…
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…
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…
