Pediatric anesthesia service CPT 99143, 99144 AND 99145

Pediatric Moderate (Conscious) Sedation Effective January 1, 2006, Procedure  codes 99141 and 99142 were deleted and have been replaced with Procedure  codes 99143 (Moderate sedation services…provided by the same physician performing the diagnostic or therapeutic service…requiring the presence of an independent trained observer to assist in the monitoring of the patient’s…under 5 years of age, ... Read More

Anesthesia and CRNA Services in a Critical Access Hospital (CAH)

Anesthesia Billing for CRNAs When a CRNA is employed by the hospital and a separate anesthesia group is medically directing, reimbursement is shared in some cases, and non-existent in others – depending on several factors.  First, the method of reporting claims.  As previously mentioned, not all carriers recognize split claims or the HCPCS modifiers, and ... Read More

CPT code 00640, 01935, 01936 and 01991, 01992

Procedure code and Description 00640 (Investigational)  ANESTHESIA FOR MANIPULATION OF THE SPINE OR FOR CLOSED PROCEDURES ON THE CERVICAL, THORACIC OR LUMBAR SPINE 01935 ANESTHESIA FOR PERCUTANEOUS IMAGE GUIDED PROCEDURES ON THE SPINE AND SPINAL CORD; DIAGNOSTIC 01936 ANESTHESIA FOR PERCUTANEOUS IMAGE GUIDED PROCEDURES ON THE SPINE AND SPINAL CORD; THERAPEUTIC 01991 ANESTHESIA FOR DIAGNOSTIC ... Read More

CPT code 62270, 62272, 62273 – Lumbar Puncture

Lumbar puncture Procedure code and Description 62270 T Spinal puncture, lumbar, diagnostic 0206 $373 $204 62272 T Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter) 0206 $373 $204 62273 T Injection, epidural, of blood or clot patch 0207 $672 $368 What is a Lumbar Puncture? Fluoroscopy is a special form of ... Read More

Billing Guide for Anesthesiology assitand and Anesthesia time

Anesthesiology Assistants Anesthesiology Assistants are eligible for the same level of reimbursements as a CRNA who is providing anesthesia under the direction of a physician. Unlike the CRNA who can perform alone in some states  an AA must always perform their service under the direction of a physician. (See definition of Medical Direction in General ... Read More

Billing Exclusions For Anesthesia

A surgeon or physician may not bill for anesthesia performed at the same time he/she is performing the surgery. This includes conscious sedation codes 99143, 99144, 99145, 99148, 99149 and 99150. Conscious sedation and local anesthetic when performed with a procedure are considered to be a part of the global surgical package and not separately ... Read More

CPT code 69436, 69421, 69433, 69420 Tympanostomy general aneshtesia

procedure code and description 69436 –  Tympanostomy (requiring insertion of ventilating tube), general anesthesia  – average fee payment – $170 – $180 69420 Myringotomy including aspiration and/or eustachian tube inflation 69421 Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia 69424 Ventilating tube removal requiring general anesthesia 69433 Tympanostomy (requiring insertion of ventilating tube), local ... Read More

Anesthesia for CAT Scans and MRI Procedures

Payment can be made for anesthesia for computerized axial tomography (CAT) or magnetic resonance imaging (MRI) scans by Blue Cross if there is documentation supporting the medical necessity of the anesthesia such as: • Convulsive disorders; • Tremors of the head and body; • Cerebral palsy, Parkinson’s Disease; • Children too young to cooperate, and/or ... Read More

BILLING Guide for CRNA Anesthesia services with example

Certified Registered Nurse Anesthetists (CRNA) Services  Neighborhood will require all CRNA(s) to become individually credentialed Effective 10/1/2014 Neighborhood will begin reimbursing CRNA services at a percentage of anesthesia allowable. CRNA must be credentialed on the date of service in order to receive reimbursement for the service and all claims must be billed using the CRNA’s ... Read More

Anesthesiologist and CRNA required modifiers

Required Modifiers Required Modifiers for  Anesthesiologist    Description     Reimbursement AA Anesthesia services personally performed by anesthesiologist 100 percent of allowable amount AD Medical supervision by a physician, more than four concurrent anesthesia procedures Max 3 base units + time units) effective 10/1/2014 date of service QK Medical direction of two, three or four ... Read More