Anesthesia Coding Alert

Reader Question:

Unusual Position

Question: How does anesthesia bill for unusual position of a patient on procedures with a base value less than five?

Vermont Subscriber

Answer: The only anesthesia code for unusual position is 00218 (anesthesia for intracranial procedures; procedures in sitting position). Also try modifier -22 (unusual procedural services), but make sure you have thorough documentation of the case to help justify its use.

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