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Anesthesia Coding Alert

Reader Questions:

No Getting By Extreme Age Payment

Published on Mon Mar 08, 2010

Question: I understand that 99100 should be used for extreme age either under 1 year or over 70 years. Some insurance companies may not cover this code, but I'm not sure if there are certain restrictions, or if there has been a guideline change that would prevent me from billing this code. Can I still use it if needed? Oklahoma Subscriber Answer: When the age qualifier is recognized in a code such as 00326 (Anesthesia for all procedures on the larynx and trachea in children less than 1 year of age), you cannot report it with a code such as 99100 (Anesthesia for patient of extreme age, younger than 1 year and older than 70 [List separately in addition to code for primary anesthesia procedure]). Keep in mind is that many commercial payers recognize the anesthesia guidelines listed in the CPT manual. An important guideline includes the ability to bill [...]
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