Follow these payer documentation guidelines when anesthesia services call for modifier 22. Field avoidance — when access to patient’s airway is limited due to the nature of the procedure or the position of the patient —when administering anesthesia increases the provider’s work. Getting paid for this extra work, however, can be a challenge. Here are ...
To better understand the three types of anesthesia rewire your thinking with this telephone analogy. Have your every wondered how anesthesia works? I have. But then a certified registered nurse anesthetist (CRNA) explained it to me so clearly that I felt compelled to share her analogy with other medical coders. To better understand how the ...
In Coding
Jun 7th, 2018
  Q What is proper coding if an anesthesiologist performs perioperative transesophageal echocardiography (TEE), 93355? Per the National Correct Coding Initiative (NCCI), TEE is bundled to the primary anesthesia service (00560), which results in non-payment of the TEE when reporting both services. A The short answer is, in the scenario described, compliant coding is 00560 ...
In Coding
Apr 1st, 2018
The 2018 CPT® code book introduces two new codes to report anesthesia during colonoscopy, one of which is applicable specifically for a screening exam. But if a screening colonoscopy reveals diagnostic findings, proper coding for the anesthesia service may differ, depending on the payer. CPT® Sticks with Screening Code 00812, Regardless of Findings CPT® 2018 deletes ...
In Coding
Dec 4th, 2017
The Centers for Medicare & Medicaid Services (CMS) finalized in the 2018 Medicare Physician Fee Schedule (MPFS) final rule their proposal to remove oxygen gas supply item (SD084) from a series of CPT codes that were previously valued with moderate sedation as an inherent part of the procedure. It occurred to CMS, after finalizing the ...