Anesthesia Coding Alert

Modifier Refresher, 01999:
Don’t Let ‘Discontinued’ Derail Your Claims
Follow 3 steps to keep modifier 53 claims on the right track. Surgeons and anesthesiologi... Read more
Pain Management:
Get Clear on Diagnosis Options for Spinal Stenosis
Hint: Pay close attention to the specific area affected. Coding for a patient who's been ... Read more
Compliance:
Say Goodbye to 1 Phase of HIPAA Security Programs
‘Phase 2' of the audit program is no longer in effect. After being inundated with HIPAA... Read more
You Be the Coder:
Turn to This Code for Anesthesia During Kyphoplasty
Question: One of our doctors is questioning whether 01936 accurately reflects the work of ... Read more
Reader Question:
Check Purpose of Epidural Before Reporting Anesthesia Services
Question: Are we allowed to bill MAC anesthesia for a caudal epidural that was administere... Read more
Reader Question:
Consider 01996 for Postoperative Pain Management Check
Question: Is it appropriate to bill 99231 when our anesthesiologist visits the patient at ... Read more
Reader Question:
Make Note of Dates When Anesthesia Service Changes After Midnight
Question: I am billing an OB case that started as a continuous labor epidural for a planne... Read more
Reader Question:
Verify That You’re Selecting the Correct Crosswalk Code
Question: Our physician administered anesthesia while another physician inserted a vertebr... Read more
Reader Question:
01990 Represents Anesthesia Support During Organ Harvest
Question: The anesthesiologist was present when a patient who had been declared brain-dead... Read more
Reader Question:
M62 Family Has Diagnoses for Nontraumatic Biceps Rupture
Question: The anesthesiologist documented “repair of biceps tear” as the procedure per... Read more
Reader Question:
Watch for Combination Diagnosis if Multiples Are Denied
Question: A private insurer has denied our claim for a pain management office visit f... Read more
Documentation:
Let Your Diagnoses Help Support Medical Necessity
Watch circumstances and payer policies to bolster your chances. Documentation is always k... Read more
Definition:
Know the Official Stance on Medical Necessity
Get familiar with AMA and CMS viewpoints. According to the American Medical Association's... Read more
Privacy:
Keep Staff Trained to Keep Yourself Free From HIPAA Trouble
Start with clear explanations of what constitutes PHI. Just because the term “HIPAA” ... Read more
Compliance:
Follow 5 Steps to Keep Your MIPS Files on Track
Hint: Old fashioned organization is your key to success. The potential for audits has bee... Read more
You Be the Coder:
Append the Correct Modifier for CRNA’s Work
Question: Our CRNA documented that she administered an epidural steroid injection under an... Read more
Reader Question:
Search for a Primary Diagnosis to Report With Z99.11
Question: Our anesthesiologist provided anesthesia while another physician inserted a vert... Read more
Reader Question:
Spinal Anesthesia Outranks Intrathecal Injection In Terms of Coding
Question: The anesthesiologist administered an intrathecal morphine injection in conjuncti... Read more
Reader Question:
Code 01936 Is Probably Best for Anesthesia During Kyphoplasty
Question: One of our doctors is questioning whether 01936 accurately reflects the work of ... Read more
Reader Question:
Know Your Best Options for Anesthesia During TEE
Question: I have a CRNA who wants to bill 93318 for his part in a TEE procedure, but anoth... Read more
Reader Question:
Procedure Code Overrides Intubation and Vent Management
Question: The anesthesiologist intubated a patient, performed ventilation assistance/manag... Read more
Procedure Focus:
Follow This Refresher to Smoother GI Endoscopy Claims
Don't forget to factor in the MAC possibility. Coding for anesthesia during gastrointesti... Read more
Policies:
Brush Up on Medical Necessity for MAC
Check out this payer's example of criteria to meet. Although colonoscopy screening is a p... Read more
Compliance:
Strengthen Your Security Against Ransomware Attacks
Tip: Even simple staff training can help make a difference. If you think your practice is... Read more
Compliance:
Get Your Latest CMS News Via Podcast
Feds continue to go mainstream with information sharing. If you're a podcast fan, you now... Read more
You Be the Coder:
Allocating Time Units Between Providers
Question: A non-medically directed CRNA took the patient into the operating room. He place... Read more
Reader Question:
Check Line Placement to Correctly Code Central Line With Swan-Ganz
Question: Our anesthesiologist recently documented that we should code for a central line,... Read more
Reader Question:
Report 64555 for Trial Occipital Nerve Stimulator
Question: Our pain management specialist placed a dual 8-electrode occipital stimulator su... Read more
Reader Question:
Don’t Try to Find a Code for MAC
Question: I'm new to anesthesia coding and have heard quite a bit about monitored anesthes... Read more
Reader Question:
Diagnosis M51.16 Covers the Symptoms of M51.26
Question: A payer has denied our claim for a pain management office visit with the reason ... Read more
Reader Question:
Watch Your Claims for Anesthesia During TEE
Question: Are there new coding edits associated with billing 93312, 93320, and 93325 for a... Read more
Coding 101:
Remember the Rules for Reporting Field Avoidance
Hint: It's all about the number “5.” Accounting for field avoidance might not be in y... Read more
Coding Edits:
Don’t Miss Out on Payment for Spinal Arthrodesis
Pay special attention to spaces and incision sites. The newest round of Correct Coding In... Read more
Compliance:
Do You Watch These 5 Areas for Audit Assurance?
Auditing is a necessity in the health care and coding world, whether you're a provider or ... Read more
Reader Question:
Report O34.219 for Repeat C-section
Question: A patient had a repeat Cesarean section due to pre-eclampsia. What is the c... Read more
Reader Question:
Paravertebral Facet Joint Injection Could Be 64490
Question: Our pain management specialist administered a cervical facet zygopophyseal intra... Read more
Reader Question:
Turn to These Modifiers When Reporting Medical Direction
Question: I'm still fairly new to anesthesia coding and want to be sure I'm adding the cor... Read more
Reader Question:
Code 76942 Has No Anesthesia Crosswalk
Question: One of our anesthesiologists insists there is an ASA code valued at one base uni... Read more
Reader Question:
Generally Say ‘No’ to Providing Anesthesia for Dental Procedures
Question: Can an anesthesiologist provide dental anesthesia for procedures such as dental ... Read more
Reader Question:
C-section Diagnosis Code Depends on First Time or Repeat
Question: I am billing for providers who only administer obstetrical anesthesia. What... Read more
You Be the Coder:
Choose From These Codes for Anesthesia During Colonoscopy
Question: Our CRNA was asked to provide anesthesia during a patient's colonoscopy. How do ... Read more
Postoperative Coding:
Survey These Scenarios to Score Success With Daily Hospital Management
Once again, documentation will make or break your claim. You can report postoperative ser... Read more
Pain Management:
Keep These Tips in Mind for Post-op Pain Care Coding
Pay attention to laterality and other factors. Code 01996 (Daily hospital management of e... Read more
Practice Management:
Follow 4 Tips for Self-Audit Success
Start by spotting possible trends, then expand from that point. Now that you're a couple ... Read more
MAC Update:
New LCD Rules Could Be in the Works
Check out this website for the latest info. Think you have a solid understanding of the L... Read more
Reader Question:
Reserve +64484 for Different Level of ESI
Question: I have some questions about billing for epidural steroid injections. Patient #1 ... Read more
Reader Question:
Episiotomy Work Is Included In L&D Epidural Code
Question: The anesthesiologist administered an epidural during a vaginal delivery. He foll... Read more
Reader Question:
Submit ‘Unlisted’ 64999 for Internal Pump Repositioning
Question: A patient has an implanted pain pump. She is not due for a replacement, but want... Read more
Reader Question:
Pay Attention to Guidance When Choosing Between 62322 and 62323
Question: What is the correct way to report a caudal ESI under ultrasound guidance? I'm co... Read more
Reader Question:
Payers Might Be Looking for Higher Level Comorbidities
Question: During a recent audit in our department, I was marked down for having too many d... Read more
You Be the Coder:
Pinpoint the Correct Arthroplasty Code
Question: Our pain management physician performed arthroplasty of a patient's finger joint... Read more
Coding Changes:
The First Coding Edits of 2019 Include 46,000 New Pairs: Are You Ready?
Tip: Focus on 99451 and 99452 and you'll be fine. Each year begins with a new set of Corr... Read more
Descriptor Check:
Do You Know What 99451 and 99452 Represent?
Here's your short answer. With so many CCI edits tying in with codes 99451 and 99452, it'... Read more
Reimbursement Update:
CMS Boosts Your Pay – Slightly – With 2019 Conversion Factors
The anesthesia starting point will be $22.2730. Anesthesia providers will see an uptick i... Read more
Pain Management:
Don’t Settle for the Simple ‘Pain’ Diagnosis
General is fine for a starting point, but be prepared to shift. Coding for pain syndromes... Read more
Reader Question:
Submit a Single Code, Even for Different Types of Anesthesia
Question: The anesthesiologist provided an epidural for a vaginal delivery, followed immed... Read more
Reader Question:
Here Are Your Options for Failed VBAC Followed by C-section
Question: A patient attempted a VBAC delivery but it failed due to fetal distress. She del... Read more
Reader Question:
Code 00300 Applies to Baer Hearing Study
Question: What is the appropriate anesthesia code for a Baer Hearing Study? Delaware Subs... Read more
Reader Question:
Only Bill 93503 When Swan-Ganz and Central Line Share Access Point
Question: One of our anesthesia providers asked me about how to code this scenario: Someon... Read more
Reader Question:
Timing Is Crucial for Discontinued Procedures
Question: Our anesthesiologist was scheduled to administer anesthesia during hardware plac... Read more
You Be the Coder:
Crossing Mediport Placement to Anesthesia
Question: I'm coding for a patient with breast cancer (C50.912, C77.3) who received a Medi... Read more
Coding Basics:
Start the New Year With a Firm Grasp of Medical Direction vs. Supervision
Hint: It's all about following the ‘7 rules.' One of the primary factors to consider wh... Read more
ICD-10:
Focus on These Terms to Pinpoint Best Migraine Diagnosis
Remember, all symptoms don't lead to the same code. The detailed specificity of ICD-10 is... Read more
Reader Question:
Screening Designation Separates 00811 and 00812
Question: There is some confusion in our office about which anesthesia code we should use ... Read more
Reader Question:
Report Intubation Over Vent Management
Question: Can we bill Medicare for intubation (31500), ventilation assist/management (9400... Read more
Reader Question:
Code Only Epidural During Session That Includes MAC
Question: Our physician administered an epidural for a vaginal delivery, followed immediat... Read more
Reader Question:
Transforaminal Injection Code Overrides IV Sedation
Question: Our physician performs medial branch blocks and transforaminal injections in our... Read more
Reader Question:
Epidural Removal Time Is Individualized
Question: What amount of time should we include on the claim for epidural removal followin... Read more
Reader Question:
Check Patient Position When Choosing Between 01991 and 01992
Question: Which is the best anesthesia code for an SI joint injection? Wyoming Subscriber... Read more
Reader Question:
Watch the Elapsed Time Before Coding Repeat Injection
Question: Our pain management specialist saw a patient with complex regional pain syndrome... Read more
You Be the Coder:
The Difference Between 01935/36 and 01991/92
Question: Can you explain to me when I should report codes 01935/01936 and 01991/01992? Ou... Read more