Results 1 to 9 of 9

Start and Stop times for Anesthesia

  1. Default Start and Stop times for Anesthesia
    Medical Coding Books
    Can someone please tell me what times you would use for the start and stop times for the anesthesia based off of these notes:
    07:33 pt in room
    Anesthesia Start
    07:40 Positioning
    07:42 Tracheal Intubation

    Then the end of report reads:

    09:44 Transportation
    Pt out of room
    09:46 Anesthesia Stop
    09:51 Post Op Note

    (PACU has pt. arriving to them as 09:44 after surgery)

    Thanks for your help.

  2. #2
    Default
    I would bill it from 7:33 to 9:46 according to these guidelines but not 100% sure either. Hope this info helps you a little more.


    Anesthesia start & stop time
    Anesthesia time begins when the anesthesiologist begins
    to prepare the patient for the induction of anesthesia in the
    operating room
    or in an equivalent area and requires the
    continuous presence of the anesthesiologist or CRNA when
    medically directing.
    • Anesthesia start and stop time must be reported
    in actual minutes
    It is important to document transfer time to recovery
    room personnel

    • Time stops if “qualified individual” is not with the patient.
    A qualified individual is one who can be medically
    directed by an anesthesiologist:
    › AA or CRNA
    › Residents and Intern
    Anesthesia ends when the anesthesiologist is no longer
    in personal attendance or when the patient may be safely
    placed under postoperative supervision


    Brooke Bierman, CPC, CPB
    Coding & Billing Manager
    2014 President AAPC Des Moines Chapter

  3. #3
    Default
    7:33 start end 9:44

    dtweedy

  4. Default
    dtweedy, Can you give explanation as to why you say 09:44 as stop time? Thanks.

  5. Default
    9:44 is stop time because the "stop" time is when the patient care is turned over to PACU.

  6. #6
    Location
    Lafayette, LA
    Posts
    24
    Default
    I would question the anesthesia provider for the end time. Remember it is when they are finished with the report and turn care over to PACU that the end time is recorded. Often it takes a few minutes once they have arrived in PACU. Many providers fail to record this time correctly, leaving revenue being lost.
    Belinda
    Belinda Keeling, CPC, CANPC

  7. #7
    Default
    I agree with bkeeling. I would say it was probably the 07:33 to 09:46. Just thought another opinion would be helpful. Also I don't see why else it would say "Anesthesia Stop" time.

    ~Melissa , CPC

  8. #8
    Location
    Virginia Beach Local Chapter
    Posts
    997
    Default
    Quote Originally Posted by Melissa1987 View Post
    I agree with bkeeling. I would say it was probably the 07:33 to 09:46. Just thought another opinion would be helpful. Also I don't see why else it would say "Anesthesia Stop" time.

    ~Melissa , CPC
    I also agree with Bkeeling. I would bill directly from the anesthesia record.
    Judy Wilson, CPC,COC,CPCO,CPPM,CPB,CPC-P,CPC-I,CANPC,AAPC FELLOW,CMRS

    Past AAPC-CA BOD 2010 - 2013 & 2015 - 2017


    judy@anes.hrcoxmail.com

    Nothing is impossible, the word itself says ‘I’m possible’!
    -Audrey Hepburn

  9. Wink
    Thank you all, the information has been a big help!

Similar Threads

  1. Hydration 2 start/stop times
    By kara.addis in forum Medical Coding General Discussion
    Replies: 5
    Last Post: 04-26-2014, 06:30 AM
  2. start & stop times IV's..help
    By Basil in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 12-29-2010, 03:09 PM
  3. Hospital Charging for IV Infusion/Injection Start and Stop Times
    By MRKOCUREK in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 11-11-2009, 02:33 PM
  4. OP Hospital recording start and Stop times for IV Admin
    By MRKOCUREK in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 10-26-2009, 01:08 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.