I have a question to that then. I have been all over my books trying to figure this out. Maybe I just missed it or am overthinking it?This sounds like you will be coding as a flat fee service cpt 99152 and the injection from example above.
Anesthesia codes [00100-01999] are used when timed base case is involved, a whole separate staff, monitoring the patient for the sedation (deep sedation, monitored anesthesia care) entails a whole different encounter record; (anesthesia pre-op note, intraop note, anesthesia post-op care note) from the other physician performing services. You can also find some of the guidelines on AMA CPT book, page 76 Anesthesia Guidelines.
If you need some more of resources for anesthesia coding, check out the post "new to Anesthesia Billing for Orthopedic surgery" there are posted additional resources for anesthesia coding.
we have cases that pain management does the injection, and our anesthesia staff will come in and provider the anesthesia service, in this scenario the pain doc will only bill the injections. But in the scenario, you described where the CRNA comes in renders the anesthesia they will bill the anesthesia service, and your pain doc just the injections.a CRNA come in and he does everything anesthesia wise himself.
I am glad you're getting the crosswalk book and I would recommend the ASA RVG [relative value guide] book as well.They are getting me a crosswalk book so that should help out too.
In my experience if anesthesia staff [anesthesiologist, or CRNA] provided the anesthesia service, then the pain doc does not bill 99152The 99152 description is just messing me up bc I think it is saying that the physician gives the anesthesia and then someone else monitors??