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Reference Tool for Anesthesia billing

  1. Default New to this
    Medical Coding Books
    I have a couple of questions.

    I have a client that is a owns a Gastroenterology Clinic and a ASC. They are hiring two non-directed CRNA's to handle the Anesthesia for their cases. My questions are two fold

    1. They are currently contracted with all major insurance carriers under the anesthesia group they work for. So I will be getting their contracts moved to either the client's Gastro Practice TAX ID or the Endoscopy Tax ID. Does it make any difference when billing and coding if I put them under the Medical Practice or the ASC?

    2. Currently to we bill the ASA codes or the crosswalk CPT codes?

    Any advise would be appreciated

  2. Default


    I'm not sure about the enrollment questions. As for # 2 most carriers require that you bill ASA codes with time for anesthesia services; however, some still want CPT codes. So the best thing to do is review your carrier's anesthesia policies and bill according to what they prefer. The major carriers like Medicare, Medicaid, Blue Cross, United Health etc... are going to want ASAs. You'll also want to review anesthesia modifiers, an undirected CRNA is billed out with a QZ mod.

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