Results 1 to 5 of 5

CPT codes vs ASA codes

  1. Default CPT codes vs ASA codes
    Exam Training Packages
    Hi Guys, we have a new Dr Anesthesiologist, I don't have any experience with this specialty, but he wants to bill the CPT codes not the ASA codes. Does anyone know if Medicare and other Ins would accept that??

    If yes, should I report the units just caculating the time or can I report it as min time, ex 30 min for 1/2 hrs.??

    Thank you so much.

    Maria A

  2. #2
    Default
    "he wants to bill the CPT codes not the ASA codes"...by CPT do you mean the procedure codes from the surgery section, as opposed to the actual anesthesia codes? If so, then as far as I know that is incorrect. If the Dr. is providing anesthesia services, then he should be using anesthesia codes, not the code for the procedure requiring anesthesia. It's possible some payors may require you to bill differently, but I think for the most part you would use the anesthesia code. Remember you should really only use the code that represents the service(s)/procedure(s) being performed. That's why the anesthesia codes exist, cause they're supposed to be used. Hope this helps!

  3. #3
    Location
    Virginia Beach Local Chapter
    Posts
    997
    Default
    Quote Originally Posted by mariaabad07@gmail.com View Post
    Hi Guys, we have a new Dr Anesthesiologist, I don't have any experience with this specialty, but he wants to bill the CPT codes not the ASA codes. Does anyone know if Medicare and other Ins would accept that??

    If yes, should I report the units just caculating the time or can I report it as min time, ex 30 min for 1/2 hrs.??

    Thank you so much.

    Maria A
    Anesthesiologist should bill anesthesia codes not surgery procedure codes. They are billing for the anesthesia not the surgery being performed. Our medicare carrier requires total minutes. Some carriers make want time units (usually 15 mins equals one unit). If the anesthesialogist performx a billable lines (ex CVP) then you would use the procedure code as he is performing a precedure. An anesthesioloigsts can wear two hats one as the ansetheisoligst and one as the physician performing the service so you would bill according to what he is actually doing. If I can be of any help to you please contact me. Hope this info helps some.
    Last edited by JudyW; 01-27-2012 at 07:20 PM.
    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

  4. Default
    We gave the Dr your explanation and he understood.

    Thank you for your help.

    Maria A

  5. #5
    Location
    Virginia Beach Local Chapter
    Posts
    997
    Default
    Quote Originally Posted by mariaabad07@gmail.com View Post
    We gave the Dr your explanation and he understood.

    Thank you for your help.

    Maria A
    Anytime, that what we are all here for to help each other learn and grow in our field.
    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

Similar Threads

  1. ASA codes for cardio thoracic surgery help
    By shariblove in forum Anesthesia
    Replies: 0
    Last Post: 02-18-2015, 02:07 PM
  2. Use of ASA codes
    By 50HEGARTY in forum Anesthesia
    Replies: 3
    Last Post: 09-10-2010, 11:07 AM
  3. CPT/ASA codes - Repair of Recto-vulvar fistula.
    By raghavendra.pawar in forum Anesthesia
    Replies: 1
    Last Post: 07-23-2010, 08:25 AM

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.