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 ...
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 ...
In Coding
Aug 28th, 2017
When reporting anesthesia services, there are several “qualifying circumstances” that may be submitted to the insurance company, when those services are reasonable and necessary. These qualifying circumstances are all add-on codes (meaning that they cannot be billed, alone), and include: +99100 Anesthesia for patient of extreme age, younger than 1 year and older than 70 ...