Wiki Anesthesia billing

[njbrown]

Can someone tell me how to calculate anesthesia time for billing? This is new to me,I am being told you have a base rate then you multiply that by the number of units which are every 15 minutes.

 

[CodingKing]

Reimbursement is Base Units + Time Units + Modifying units (if payer accepts them) * conversion factor

The base units per code is either by CMS Base Units or ASA RVG, depending on payer or contract.

Time units Number of minutes / 15. due to 50% time rule, if the remainder is under .5 round down. if the remainder is .5 or more round up
For instance 125 min = 8.33 since its not 50% into the next 15 minutes its considered 8 units

 

[njbrown]

thank you