Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Anesthesia
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 08-30-2012, 07:26 AM
Amin C Amin C is offline
New
 
Join Date: Apr 2007
Posts: 8
Amin C is on a distinguished road
Default Help me out With Cpt 00740 & 00810

Someone can help me out. When we submitted cpt 00740 and 00810 (for anesthesia) together, why insurance paid only one code. thank you
Reply With Quote
  #2  
Old 08-30-2012, 07:47 AM
mcnaryk mcnaryk is offline
Guru
 
Join Date: Apr 2007
Location: Tupelo, MS
Posts: 134
mcnaryk is on a distinguished road
Default

Quote:
Originally Posted by Amin C View Post
Someone can help me out. When we submitted cpt 00740 and 00810 (for anesthesia) together, why insurance paid only one code. thank you
When two (or more) procedures are done at the same time, only the anesthesia code with the most base units is reported. You capture credit for the other procedure in the time reported. 00740 and 00810 both have a base unit value of 3, so I usually bill the one I have the best diagnosis to support. My provider gets credit for both in the total anesthesia time we report on the claim. For example, if a doctor is doing a gallbladder surgery and removes a mole on the arm at the same time, the anesthesia codes would be 00790 for the gallbladder and 00400 for the mole. 00790 has base unit of 7 while 00400 is worth 3 base units, so you would report 00790 with the appropriate diagnosis on you claim. Credit for the mole removal would be reported in the total anesthesia time. So, even though your patient had both a colonoscopy and and EGD at the same time, because the base units are the same you would only report 1 code to get credit for both. In CPT there is a section in the Anesthesia Guidelines: Seperate or Multiple Procedures. I hope this helps!
__________________
Kristina McNary, CPC, CANPC
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 12:29 PM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC