CPT codes

CRNA covered CPT codes

by Niels
CPT LIST OF CODES COVERED FOR PROVIDER TYPE 38, CRNA00010 upto 00540 00100 ANESTHESIA PROCEDURES SALIVARY GLANDS,INCL BIOPSY 00102 ANESTHESIA PROCEDURES PLASTIC REPAIR OF CLEFT LIP 00103 ANESTHESIA FOR RECONSTRUCTIVE PROCEDURES OF EYELID 00104 ANESTHESIA FOR ELECTROCONVULSIVE THERAPY 00120 ANESTH EXTERNAL, MIDDLE, INNER EAR INC BIOPSY;NOS 00124 ANESTH EXTRNL,MIDDLE,INNER EAR INC BIOPSY;OTOSCOPY 00126 ANES XTRNL,MIDDLE,INNER ... Read More

How payment has been calculated for anethesia services

by Niels
Reimbursement for anesthesia services shall be made at the provider’s usual charge or the anesthesia reimbursement allowance (ARA) listed in Part A, Section X in this manual. a. Methodology for calculating the anesthesia reimbursement allowance (ARA) for procedures that are listed basic value (BV) + time (TM). (1) Select the applicable anesthesia procedure code and ... Read More

what is qualifying circumstances

by Niels
Qualifying circumstances. Anesthesia services, which are provided under particularly difficult circumstances, may warrant additional reimbursement for unit values based on unusual events. This subsection includes a list of important qualifying circumstances that impact the anesthesia service provided. These procedures are not reported alone but are reported as additional procedure numbers qualifying an anesthesia procedure for ... Read More

Anesthesia services – Reimbursement – Worker compensation

by Niels
Reimbursement for anesthesia services shall be made to a physician or certified registered nurse anesthetist (CRNA). 1. Reimbursement shall be based on application of the following values, physical status modifiers and certain qualifying circumstances. a. Basic value (BV) or base unit. (1) The usual preoperative and postoperative visits, the anesthesia care during the procedure, the ... Read More

CPT code 00844 – 01482 – Base unit of Anesthesia

by Niels
00844 7 Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; abdominoperineal resection 00846 8 Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; radical hysterectomy 00848 8 Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; pelvic exenteration 00851 6 Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/transection 00860 6 Anesthesia ... Read More

Anesthesia CPT code list with Base units

by Niels
Code Units     40.06(2) – Anesthesia Description 00100   5 Anesthesia for procedures on salivary glands, including biopsy 00102   6 Anesthesia for procedures involving plastic repair of cleft lip 00103   5 Anesthesia for reconstructive procedures of eyelid (eg, blepharoplasty, ptosis surgery) 00104  4  Anesthesia for electroconvulsive therapy 00120  5 Anesthesia for procedures on external, middle, and inner ... Read More

Anesthesia terms and definitions

by Niels
Postoperative Pain Management and Palliative Therapy Effective for services provided on or after July 1, 2001, postoperative pain management and selective palliative therapy provided by anesthesiologists are covered Medicaid services. Pain management must be related to the immediate post operative period or a catastrophic or terminal illness where palliative therapy is indicated. The Primary Care ... Read More

REIMBURSEMENT FOR ANESTHESIA – Utah Medicaid

by Niels
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

Medicaid poliycy of Anesthesiology

by Niels
GENERAL POLICY – Anesthesiology – Medicaid Medicaid covers anesthesia only when administered by a licensed anesthesiologist or a certified registered nurse anesthetist (CRNA) who remains in attendance for the sole purpose of rendering general anesthesia in order to afford the patient anesthesia care deemed optimal during any procedure. The base code for the anesthesia is ... Read More

How much Medicaid pay for anesthesia

by Niels
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