CPT^® 00635, Under Anesthesia for Procedures on the Spine and Spinal Cord

The Current Procedural Terminology (CPT^®) code 00635 as maintained by American Medical Association, is a medical procedural code under the range - Anesthesia for Procedures on the Spine and Spinal Cord.

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Summary

The provider performs anesthesia services for a patient undergoing a procedure in the lumbar region, including a diagnostic or therapeutic lumbar puncture.

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MODIFIERS
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Claim denial for NCCI Edit- help please

[b]Claim denial for NCCI edit[/b] Anesthesia billing is a tricky adventure. if you have a CPT book there are Anesthesia Guidelines in the front of the anesthesia section that are very helpful. The 9... [ Read More ]

Modifier Help/Sedation

Hmmmm.... this just seems like a very odd situation to me. I don't code for anesthesia or pediatrics, but I would imagine it would be unusual for anyone other than an anesthesiologist to administer ... [ Read More ]

Modifier Help/Sedation

I am working on a denied claim for a physician. Initially, the physician performed a 99472 and later in the day also performed sedation for a diagnostic LP. The billing office billed the services o... [ Read More ]

Claim denial for NCCI Edit- help please

00635 is an anesthesia code and generally for anesthesia specialties. If you provider performed a spinal tap on a child and required anesthesia, that would not be the code you would use. I would nee... [ Read More ]

Claim denial for NCCI Edit- help please

Hello~ I am wondering if someone would be able to help me with a claim denial. Our practice billed out 99472 with a modifier 25 for the provider. The same day the same provider provided sedation; t... [ Read More ]

2016 Anesthesia PQRS

Yes, it seems if you use registry reporting you would use 4559F & 4255F, but I haven't had chance to review any articles describing how this revised measure is reported. It seems they did away with ... [ Read More ]

PQRS Measure #193

You would report G9363 as standalone G9363: Duration of monitored anesthesia care (MAC) or peripheral nerve block (PNB) without the use of general anesthesia during an applicable procedure [B][U]or g... [ Read More ]

Appendix G

[b]Anesthesia VS. Sedation?[/b] Let me ask..........how do I find the complete description of the "content" of the anesthesia? I'm not certain I am asking the right question. But let me give an exa... [ Read More ]

Epidural Steroid Injection by CRNA/MD

Is there any instance where a CRNA or MD can bill an ESI under anesthesia codes? I have them billing under 00635 and/or 01991 when they actually performed the ESI in an outpatient setting. And, the ... [ Read More ]

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