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Consultation codes for Anesthesiologists/CRNAs

  1. Default Consultation codes for Anesthesiologists/CRNAs
    Medical Coding Books
    I have a case where during the pre-anesthesia H&P, the case was cancelled because of illicit drug use by the patient 12 minutes prior to the surgery.

    Can we bill for an E/M in this situation? Would it depend on where the exam was performed (in the OR or not)? Does is matter if the CRNA performed the H&P and not an anesthesiologist? The exam began at 7:15am and ended @ 7:52am when the surgeon cancelled the case.

    Your input is greatly appreciated.

  2. #2

    Per the CMS Chapter 12 Anesthesia Billing Guidelines, it IS APPROPRIATE for the MDA or CRNA to bill an E&M or consult for a cancelled case. As for the level of service billed, it is based on the documentation which must meet the documentation requirements of the selected code.

    I have attached the link below for your reference. See Sections 50 and 140.

    Julie, CPC

  3. Default
    Thank you so much! I am new to anesthesia coding, so this info is very helpful.

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