Anesthesia Billing

General Billing Guidelines for Anesthesia

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Anesthesia billed by an anesthesia practitioner should be billed on the CMS 1500 or 837 P with the appropriate 5-digit CPT code 00100 – 01995 or 01999 in effect for the date the services were rendered with the appropriate payment modifier. There are four anesthesia categories as determined by CMS that affect payment of anesthesia ... Read More

Billing Guide – Two anesthesiologist performed

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One Procedure – Two Anesthesiologists or Two CRNAS If one practitioner begins the anesthesia and has to leave the patient to start another procedure and a second practitioner finishes the procedure the one who is with the patient that spent the longest time with the patient can bill. That practitioner should report the combined total ... Read More

CPT 64635, 64636, 64633 – Paravertebral Facet Joint code

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CPT NEW DESCRIPTION 64633 DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE(S), WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT); CERVICAL OR THORACIC, SINGLE FACET JOINT 64634 DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE(S), WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT); CERVICAL OR THORACIC, EACH ADDITIONAL FACET JOINT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ... Read More

CPT CODE 64483, 64479, 64484 – Anesthetic agent

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CPT code and description 64479 – Injection, anesthetic agent and/or steroid, transforaminal epidural; Cervical or Thoracic, single level 64480 – Cervical or Thoracic, each additional level 64483 – Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, single level – average fee amount – $220 – $230 64484 ... Read More

CPT CODE 64450, 64415, 64405, 01630, 01820, 01400

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cpt code and description 64450 – Injection, anesthetic agent; other peripheral nerve or branch – average fee amount – $80 – $100 64405 INJECTION, ANESTHETIC AGENT; GREATER OCCIPITAL NERVE 64415 – Injection, anesthetic agent; brachial plexus, single Average fee amount – $110 – $130 01630 – Anesthesia for open or surgical arthroscopic procedures on humeral ... Read More

CPT CODE 99143, 99144 AND 99145

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CPT CODE and Description 99143 – Moderate sedation services (other than those services described by codes 00100-01999) provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level ... Read More

Anesthesia Billing Guidelines Reminder and Reference

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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 be submitted with a CPT anesthesia code 00100-01999, except 01953 and 01996. Refer to the Anesthesia Management Codes in the Anesthesia Policy for all applicable codes.  Time ... Read More

Basic things on anesthesia billing

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Anesthesia Billing When a physician bills for anesthesia services, the correct procedure code and modifiers indicate one of the following below: 1. Services were personally provided by the physician to the individual patient – No modifier is needed; or 2. The physician provided medical direction for CRNA services and the number of concurrent services directed. ... Read More

How to maintain document for Anesthesia billing

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C. Documentation For Anesthesia Record General Documentation Requirements for all services: · Anesthesia services performed, including exact time spent performing anesthesia services, must be documented in the anesthesia record to support billing. · Rendering practitioner/qualified healthcare professional must note their credentials and legibly sign and date the record. · Member identifying information must be present ... Read More

Modifier question on anethesia claims?

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Q. What defines medical direction? For each anesthesia procedure, the anesthesiologist must perform all of the following seven services and they must be recorded in the anesthesia record: 1. Perform a pre-anesthetic examination and evaluation; 2. Prescribe the anesthesia plan; 3. Personally participate in the most demanding procedures of the anesthsia plan including, if applicable, ... Read More