Types of Anesthesia and Anesthesia Services

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Anesthesia Service by the Surgeon: Anesthesia services personally furnished by the physician performing the surgical, therapeutic or diagnostic procedure are considered an integral component of the primary procedure. This may include local injections, regional blocks, and intravenous medication. General anesthesia administered and monitored by the surgeon is not considered medically appropriate. Balanced Anesthesia: Anesthesia that ... Read More

Special Coding Situations for Anesthesia billing

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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

CPT Modifiers for Clinical Laboratory Services.

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Add the appropriate Level 1 or Level II CPT modifier to the five digit code or identify the modifier by use of a separate code by adding 099 before the 2 digit number e.g. 09950, 09951. Level 1 Modifier                                                     Description -59 Distinct Procedural Service                               The modifier –59 is appropriate to report multiple service submissions for ... Read More

CPT and HCPCS Modifiers for Anesthesia Services.

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Add the appropriate Level 1 CPT modifier or HCPCS Level II modifier to the five digit code or identify the modifier by use of a separate code by adding 099 before the 2 digit number e.g. 09950, 09951. Level 1 CPT Modifier                 Description -23 Unusual Anesthesia               Occasionally, a procedure, which usually requires either no anesthesia ... Read More

Anesthesia Physical Status Modifier

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Anesthesia Modifiers 1. Physical Status Modifiers. Physical status modifying units will be reimbursed if the patient is ranked in one of the following three categories. Physical status is included in CPT to distinguish various levels of complexity of the anesthesia service provided. Example: 00100-P3 Status Modifiers    Description                                        Modifying Unit Value P3                      A patient with severe ... Read More

Anesthesia Medically Necessary- when will be considered.

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General Anesthesia or Regional Anesthesia Administration of general or regional anesthesia is considered medically necessary when both of the following criteria are met: a. The services are provided by an individual other than the attending physician performing the procedure; AND b. Alternative types of anesthesia, sedation, or analgesia are not appropriate. If general or regional ... Read More