I don't know the answers to all your questions. The system we enter are charges has a start time and end time. We look at the anesthesia record and the anesthesiologist or CRNA indicate what the start and end time are. We placed those in the system and it gives us the minutes. We bill the appropriate anesthesia code and then place the minutes in the units field and determine correct modifiers according what other cases were done that day. Have you purchased a Relative Value Guide they have some good information. Also you can look at the Medicare claims processing manual in regards to their medical policy on Anesthesia services. And then attempt to acquire other policies from the commercial carriers to see if this differentiate from Medicare polices. I know this doesn't answer even half of your question but I just wanted to mention the Relative Value Guide since I see others reference from that.
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