This Q and A below can be found on the AMA CPT Network, It mentions monitored anesthesia care as meeting "with anesthesia" descriptor.
KB #: 5038
Do the phrases with anesthesia or requiring anesthesia in CPT code descriptors preclude the reporting of anesthesia codes?
It should be noted that there are certain CPT code descriptors in the CPT codebook that include the phrases "with anesthesia" or "requiring anesthesia." These phrases indicate that the work involved in performing that procedure requires anesthesia, whether it is general anesthesia, regional anesthesia, or monitored anesthesia care. The appropriate anesthesia code is reported separately. Moderate (conscious) sedation is not an anesthesia service.
But if you are searching the CPT Assistant archives you will find
April 2005 CPT Assistant "The code descriptors, which include the phrase â€śrequiring anesthesiaâ€ť or â€śunder anesthesia,â€ť indicate that the work involved in that specific procedure requires the use of general anesthesia; therefore, it would not be appropriate to report code 23700 if general anesthesia is not provided.Jan 1999 CPT Assistant "From a CPT coding perspective, codes having the descriptor â€śrequiring anesthesiaâ€ť mean requiring general anesthesia."
Is the physician also billing "73525 for the interpretation of the arthrogram."
I was reading thru the note to find the arthrogram description . The code says for hip arthrography, but the note sounds like it describes the steps in performing 27093/27095 but lacks a clear arthrogram report.
Below the part about "no other pathology identified" is what I think the note is potentially missing in documentation.
Below is from AAOS 2005 link
Injection of the hip under fluoroscopic guidance
Before injecting steroids into the hip area, physicians often inject dye and perform an arthrogram to outline the joint and confirm that the needle location is in the joint capsule and no other pathology is identified. In this case it would be appropriate to report code 27093â€”Injection procedure for hip arthrography; without anesthesiaâ€”along with code 73525 for the interpretation of the arthrogram.
If a surgeon is just injecting the hip to confirm needle location and the intent is not an arthrogram, 76003 would be appropriate.
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