Wiki Anesthesia for ESWL billing scenarios

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Sahuarita, AZ
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Here is the situation,a surgeon is asking our anesthesiologist to be on standby on the his ESWL cases prior on determining if the case will go forward or not. Here are the list of possible scenarios regarding this situation:

The surgeon will using a c-arm X-ray first in the OR to confirm the side and location of the stone. Our anesthesiologist will be on the OR on standby at that time.

Scenario #1: If there is no stone seen and the surgeon cancelled the case. How are we gonna bill this on the anesthesia point of view? Since the case was cancelled prior to preoperative management of the patient and our doctor is on standby, can we bill for standby services (CPT 99360) if it is more than 30mins of standby time? If it is less than 30mins can we still bill for it?

Scenario #2: Preoperative visit was done by our doctor prior to cancellation of the case, can we bill for an appropriate E/M visit code for this?

Scenario #3: If the case was cancelled after the induction of anesthesia, can we still bill for ESWL code (CPT 50590) with a modifier in this case? What modifier to use? -52 or -53?

Any kind of clarification regarding this will be much appreciated. Thank you.
 
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