If you're talking about billing for anesthesia services we have some commercial insurance payers who still prefer/accept the CPT code with minutes of anesthesia and/or units of service. The reasoning I've been given is that they need the anesthesia claim coding to match the surgeon's coding to ensure proper payment. Most payers, however, prefer the ASA code.
My billing system gives me either option and, for reporting purposes, we enter the all charges with the CPT codes and my billing program references the appropriate coding billing guideline as I have set up in the insurance file maintenance.
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