![]() ![]() Anesthesia time is defined as the period during which an anesthesia practitioner is present with the patient. In addition to reporting a base unit value for an anesthesia service, the anesthesia practitioner reports anesthesia time. Payment for anesthesia services increases with time. A unique characteristic of anesthesia coding is the reporting of time units. ![]() In this case, both the code for the primary anesthesia service and the anesthesia AOC are reported according to “CPT Manual” instructions.Ģ. For Medicare purposes, only one anesthesia code is reported unless the anesthesia code is an Add-on Code (AOC). Anesthesia codes describe a general anatomic area or service which usually relates to a number of surgical procedures, often from multiple sections of the “CPT Manual”. Anesthesia services include, but are not limited to, preoperative evaluation of the patient, administration of anesthetic, other medications, blood, and fluids, monitoring of physiological parameters, and other supportive services. CPT codes 99151-99157 describe moderate (conscious) sedation services. Several CPT codes (01951-01999, excluding 01996) describe anesthesia services for burn excision / debridement, obstetrical, and other procedures. CPT codes 01916-01936 describe anesthesia for radiological procedures. CPT codes 00100-01860 specify “Anesthesia for” followed by a description of a surgical intervention. The following policies reflect national Medicare correct coding guidelines for anesthesia services.ġ. ![]() CRNAs and AAs practicing under the medical direction of anesthesiologists follow instructions and regulations regarding this arrangement as outlined in the above sections of the “IOM.” Anesthesiologists personally performing anesthesia services and non-medically directed CRNAs bill in a standard fashion in accordance with the Centers for Medicare & Medicaid Services (CMS) regulations as outlined in the “Internet-only Manual (IOM)”, “Medicare Claims Processing Manual”, Publication 100-04, Chapter 12, Sections 50 and 140. An AA always performs anesthesia services under the direction of an anesthesiologist. ![]() CRNAs may perform anesthesia services independently or under the supervision of an anesthesiologist or operating practitioner. The anesthesia practitioner assumes responsibility for anesthesia and related care rendered in the post-anesthesia recovery period until the patient is released to the surgeon or another physician.Īnesthesiologists may personally perform anesthesia services or may supervise anesthesia services performed by a CRNA or AA. Types of anesthesia include local, regional, epidural, general, moderate conscious sedation, or monitored anesthesia care. Preoperative evaluation includes a sufficient history and physical examination so that the risk of adverse reactions can be minimized, alternative approaches to anesthesia planned, and all questions regarding the anesthesia procedure by the patient or family answered. The anesthesia care package consists of preoperative evaluation, standard preparation and monitoring services, administration of anesthesia, and post-anesthesia recovery care. Specific issues unique to this section of CPT are clarified in this chapter.Īnesthesia care is provided by an anesthesia practitioner who may be a physician, a certified registered nurse anesthetist (CRNA) with or without medical direction, or an anesthesia assistant (AA) with medical direction. A physician shall not separately report these services simply because HCPCS/CPT codes exist for them. HCPCS/CPT codes include all services usually performed as part of the procedure as a standard of medical/surgical practice. This type of unbundling is incorrect coding. A physician shall not report multiple HCPCS/CPT codes if a single HCPCS/CPT code exists that describes the services. A HCPCS/CPT code shall be reported only if all services described by the code are performed. Physicians shall report the Healthcare Common Procedure Coding System/Current Procedural Terminology (HCPCS/CPT) code that describes the procedure performed to the greatest specificity possible. However, those general guidelines from Chapter I not discussed in this chapter are nonetheless applicable. Several general guidelines are repeated in this Chapter. The principles of correct coding discussed in Chapter I apply to the Current Procedural Terminology (CPT) codes in the range 00000-01999. Contact Fusion Anesthesia for your anesthesia billing questions!ĬHAPTER II ANESTHESIA SERVICES CPT CODES 00000-01999 FOR NATIONAL CORRECT CODING INITIATIVE POLICY MANUAL FOR MEDICARE SERVICESĬurrent Procedural Terminology (CPT) codes, descriptions and other data only are copyright 2020 American Medical Association.Ĭhapter II Anesthesia Services CPT Codes 00000 – 01999 ![]()
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