Wiki 01992

[alexis.nichole13@hotmail.com]

I bill code 00630 for a microdisectomy procedure. The patient is in prone position obviously. Do I bill code 01992 and put the start and stop time like I did on code 00630? Is code 01992 reimbursable?

 

[dwaldman]

Yes 01992 is reimbursable, I use total minutes in unit field and indicate start and stop times with total number of minutes
Example
START 1111 END 1133 TIME 22 MINUTES
Although UHC and many other carriers do have a policies regarding anesthesia with pain management procedures:

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-reimbursement/COMM-Anesthesia-Policy.pdf

 

[lklokner]

Yes 01992 is reimbursable, I use total minutes in unit field and indicate start and stop times with total number of minutes
Example
START 1111 END 1133 TIME 22 MINUTES
Although UHC and many other carriers do have a policies regarding anesthesia with pain management procedures:

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-reimbursement/COMM-Anesthesia-Policy.pdf

Do you happen to have experience with code 64483 being billed by facility and administering doc (pain management) and CRNA billing 01992 with QZ modifier? Three separate claims. CRNA is only monitoring vitals with no anesthetic given. Max of 10 min. The CRNA does do a pre-op consult.