I would not bill for "urgent." However, if my provider indicated emergency, I would bill the add on code 99140. Because I'm billing for anesthesia I go by the American Society of Anesthesiologists (ASA) and CPT guideline which is "when delay in treatment of the patient would lead to significant increase in the threat to life or body part". In our practice this determination is made by the anesthesia provider NOT the coder.
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