Question CRNA CONSULT 30 DAY PRIOR TO SURGERY

KUBACKIM

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CRNA performs the Consult H&P within the 30 days prior to surgery and chooses a 99244. Consult levels 99241-99245. I was told that a CRNA could not code any higher than a 99241 as they are not an MD, PA or NP.

Does anyone have anything in writing I have searched and could not find any information.

Thank you
 

thomas7331

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I've never heard of a rule that a CRNA cannot bill higher than a level 1, but my question would be why is a CRNA billing a consultation at all? A preoperative evaluation is part of the anesthesia care package, per NCCI - this should not be reported or billed as a separate service. In order to bill a consultation, another provider would have had to request this CRNA's opinion regarding a problem that the provider needed a specialist's assistance with in managing a particular problem. A consultation with a specialist in anesthesiology would normally be for a particular kind of specialized treatment, such as advanced pain management, and would not be requested for purposes of planning surgery. An anesthesiologist's evaluation of a patient prior to surgery, in and of itself, is not a consultation, and not a billable service.
 
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