Results 1 to 7 of 7

Field Avoidance-Can anyone help

  1. Default Field Avoidance-Can anyone help
    Medical Coding Books
    Can anyone help me with billing/coding for field avoidance. Everyone at this facility has a different idea about what it means and when and how to code and bill for it. Where can I find "concrete" information on this topic and/or can someone please advise?
    Michelle Constable, CPC

  2. Default
    sounds like schizophrenia

  3. #3
    We struggle to get payers to consider this but Anthem does have a written policy that describes it however, they don't tell you how to bill for field avoidance. The concrete rules are in the RVG and describe when the minimum base unit should be raised to 5. If you go to the ASA website you can also search for "field avoidance" and get some information on what positions or surgeries are involved. However, all our payers require that we submit a copy of the ASA guidelines describing field avoidance and copies of the op notes and anesthesia records. The claims need to be submitted hardcopy with a 22 modifier in the first modifier field. (Medicare and Medicaid of Ohio do not recognize "field avoidance" or the 22 modifier.) Good luck.
    Holly M.

  4. #4
    Smile How we do it...
    I don't know what the guidelines are in your state, but we can only bill for field avoidance when the patient is in the prone or lateral position. I saw this once on a Pink Sheet, but I no longer have a copy of it.

    Candy Souders, CPC, ACS-AN
    Lead Coder (Anesthesia & E/M)
    CBIZ Medical Management Professionals
    11440 Tomahawk Creek Pkwy
    Leawood, KS 66211
    (913) 234-1280

  5. #5
    From the ASA website:

    ASA Relative Value Guide: "Any procedure around the head, neck or shoulder girdle, requiring field avoidance, or any procedure requiring a position other than supine or lithotomy, has a minimum Basic Value of 5.0 regardless of any lesser basic value assigned to such a procedure in the body of the Relative Value Guide."

    It is not just positioning but also head, neck, shoulder.

    Holly M

  6. #6
    Default Question for Holly M
    Could you please direct me to the exact link on the ASA website that states this information. Apparently this information has changed since I started coding.


    Candy Souders, CPC, ACS-AN
    Lead Coder

  7. #7
    I will try to send the link. Let me know if you can't get it.

    ASA newsletter 2002, Number 8, Vol 66.

    Holly M.

Similar Threads

  1. Field Avoidance
    By jsecor in forum Anesthesia
    Replies: 5
    Last Post: 07-15-2016, 01:47 PM
  2. Looking to get into the field
    By 704rocman in forum Resume Postings
    Replies: 0
    Last Post: 10-26-2011, 08:13 PM
  3. Prone position and field avoidance
    By kmaher in forum Anesthesia
    Replies: 1
    Last Post: 10-10-2011, 06:47 PM
  4. Airway Avoidance?
    By rrambow in forum Anesthesia
    Replies: 1
    Last Post: 08-26-2011, 10:58 AM
  5. Field Avoidance/Prone position
    By in forum Anesthesia
    Replies: 5
    Last Post: 03-05-2010, 08:39 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?


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.