Desperate need of assistance. I don't generally work with facility claims and I am struggling when a facility can bill for anesthesia. I have looked in NCCI and have come up with this information: Anesthesia Rules and Global Surgery Rules do not apply to hospitals.
Thus, my dilema. I have a facility that is billing 00534 with 33249 and using the tools available to me to check appropriateness of billing indicates these codes should not be billed together. 33249 is in Appendix G of the CPT Professional Edition but this is directed to physician billing and not facility. Can you assist me with resource(s) available on how I can determine if facility may bill for 00534?
Thus, my dilema. I have a facility that is billing 00534 with 33249 and using the tools available to me to check appropriateness of billing indicates these codes should not be billed together. 33249 is in Appendix G of the CPT Professional Edition but this is directed to physician billing and not facility. Can you assist me with resource(s) available on how I can determine if facility may bill for 00534?