Billing and coding tips

ANESTHESIA SERVICES Medical and Surgical Services Rendered in Addition to Anesthesia Procedures Payment may be made under the fee schedule for specific medical and surgical services by the anesthesiologist as long as these services are reasonable and medically necessary or provided other rebundling provisions do not preclude separate payment. These services may be rendered in ... Read More

Medical Direction & Temporary Relief CRNAs/AAs providing anesthesia services under the medical direction of an anesthesiologist must have uninterrupted immediate availability of an anesthesiologist at all times. When a medically directing anesthesiologist provides temporary relief to another anesthesia provider, the need for uninterrupted immediate availability may be met by any of the following strategies: • ... Read More

Medi-Cal has not adopted the “qualifying circumstances” codes (99100 – 99140).  Claims submitted with these codes will be denied or returned to the provider for correction. Billing Anesthesia Services Anesthesia services (CPT-4 codes 00100 – 01999) are reimbursed when medically necessary.  To bill for anesthesia services, use the five-digit CPT-4 code applicable to the procedure ... Read More

1.Multiple Procedures. When multiple surgical procedures are performed during a single anesthetic administration, report only the anesthesia procedure with the highest unit value. The time reported should be the combined total for all procedures performed. 2. Anesthesia Modifiers. Physical status and common CPT modifiers used in conjunction with anesthesia codes can be found in 114.3 ... Read More