The anesthesia code has to be billed once for each anesthesiologist. These codes are etered in the "Procedures, Servces, or Supplies field Box 24D.
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The time units are to be calculated for each doctor and is to be billed to each individually.
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DOS to be entered in the DOS field(Box 24A) and Place of Service code in Box 24B.
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Because this claim is split-billed, the anesthesiologists' NPI numbers are required in the "Rendering Provider ID Number" field, i.e., Box 24J.
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The provider who submits the claim also must enter billing provider information in the "Billing Provider Info and Phone Number" field (Box 33) and NPI in Box 33A.
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The nine-digit ZIP code entered in this box must match the billing provider’s nine-digit ZIP code on file for claims to be reimbursed correctly.
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In addition, the "Reserved for Local Use" field (Box 19) of the claim is to indicate "anesthesia split case and see attachment." For additional information, refer to “Split Case for Anesthesia Services” in the Anesthesia section of this manual.
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Enter the usual and customary charges in the Charges field (Box 24F).
