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Anesthesia Coding Alert

CPT® 2017:
Remember Depths When Coding for Moderate Sedation
Pay special attention to documentation terminology. With new moderate sedation codes g... Read more
MACRA Is Coming, So Here's What You Need to Know
Start submitting with 2017 data to avoid penalties. January won’t just bring upd... Read more
Do You Know the Best Time to Reconcile A/R?
Get the timing right and the best person in place for the job. It’s not unusual ... Read more
Reader Question:
Match Anesthesiologist and CRNA Codes for C-section Case
Question: The anesthesiologist provided the epidural for the labor portion of a del... Read more
Reader Question:
Anesthesia for 64640 Should Be 01991
Question: I have a CRNA who provides MAC anesthesia for pain procedures. He has had... Read more
Reader Question:
Claims for OB Anesthesia Need Multiple Diagnoses
Question: I am billing for anesthesia providers who only perform OB anesthesia. I a... Read more
Reader Question:
Don't Miss Modifier 51 Opportunities for Fluoroscopic Injections
Question: Our physician recently performed multiple arthroscopic injections, and the enc... Read more
Reader Question:
Understand 'Social Engineering' and Its Potential Threat
Question: I recently heard about “social engineering” as a security thr... Read more
Reader Question:
Post-op Pain Relief Could Be Coded as 99231
Question: Our providers are now doing a different nerve block for postoperative pai... Read more
You Be the Coder:
Anesthesiologist's Role Rules How to Report Intubation EUA
Question: What procedure code should I report for intubation EUA (examination under... Read more
CPT® Update:
2017 Will Bring an Overhaul to Your Epidural Coding
Plus: Don’t overlook the moderate sedation changes. The American Medical Associa... Read more
Patient Care:
Get Clear on How to Apply Telemedicine Definitions
Hint: Start by separating phone from online services. The term “telemedicine&rd... Read more
Reader Question:
Go With 00940 for Manual Uterine Inversion
Question: What is the correct anesthesia code for a manual uterine inversion? Ken... Read more
Reader Question:
Steer Clear of Submitting 64487 With 64488
Question: If the anesthesiologist administered 64488 (bilateral, by injection) and ... Read more
Reader Question:
File G89.18 for Post-op Pain Management Care
Question: Our anesthesiologists use ultrasound guidance when placing nerve blocks f... Read more
Reader Question:
CRNAs Must Sign Off on Their Own Documentation
Question: Some of our CRNAs have a habit of documenting their work on the patient&r... Read more
Reader Question:
Myelography Procedure 62304 Crosses to ASA 01935
Question: Our physician administered anesthesia for lumbosacral myelography. What is ... Read more
Reader Question:
Work Through Details, Then Select Injection Guidance Code
Question: A new patient reported to our physician complaining of pain in his right ... Read more
Reader Question:
Modifier 50 Works With Nerve Blocks, Not Anesthesia Codes
Question: A surgeon completed bilateral knee replacements and asked our pain manage... Read more
You Be the Coder:
Report 99231 Once Daily, Except for Catheter Insertion Day
Question: Our providers have changed how they’re handling some post-op anesth... Read more
Qualifying Circumstances:
Keep This Advice in Mind Before Claiming 'Emergency' With +99140
Being able to include one of the qualifying circumstances (QC) codes with a claim could ... Read more
CPT® 2017:
Watch Whether New Injection Codes Will Change Your Reporting
Here’s the scoop on a few more choices you’ll be adding. The official rele... Read more
Follow 3 Steps When Selecting Spinal Disc Disorder Codes
Hint: Base your choice on pathology and anatomical location. When you have the need to... Read more
Reader Question:
Check Whether Payer Wants 00740 or 00810 on the Claim
Question: Our physician administered anesthesia for a patient who had a screening c... Read more
Reader Question:
Confirm Details Before Filing 62273 for Same-Day Blood Patch
Question: How do I code an epidural blood patch procedure on the same day as l... Read more
Reader Question:
Let Payer Guide TEE Code Submission
Question: Is transesophageal echocardiography included in basic anesthesia administ... Read more
Reader Question:
Include Modifier SA for Supervised NP Services
Question: We employ a nurse practitioner (NP) at our office to assist our pain mana... Read more
Reader Question:
Don't Panic Over Being Contacted by OCR - Yet
Question: Our office recently received a contact verification email from OCR. Does ... Read more
You Be the Coder:
Steer Clear of Reporting 27447 With 64447
Question: Our anesthesiologists are using ultrasound guidance when administering po... Read more
CPT® 2017:
Here's a Sneak Peek at What Could Be Coming in January
The predicted epidural changes might become reality. The AMA has released pre-producti... Read more
Patient Care:
Key In to These 4 Points Regarding Post-op Care
Clear documentation of each phase should help your reimbursement chances. When your an... Read more
Watch for Vascular System Changes That Will Affect Your Diagnosis Selection
Hint: You’ll need to pay even closer attention to the surgeon’s record. Th... Read more
Keep Yourself in the Clear By Avoiding OCR Hot Spots
Take note of the areas HHS will be watching. Are you guilty of one of the top-six HIPA... Read more
Reader Question:
Consider 00790 for Sigmoid Colectomy Anesthesia
Question: I have a chart with the following description of the procedure performed: Sig... Read more
Reader Question:
Remember This Before Appending Q Modifier
Question: Can you remind me of the rules of field avoidance? What is required for d... Read more
Reader Question:
Determine Whether 01967 or 62319 Is Better for Labor With No Delivery
Question: An expectant mom came to the hospital at the 37-week mark and was given a... Read more
Reader Question:
Cancellation Rules Stay the Same, Despite Self-Pay Status
Question: I have a cosmetic case that cancelled after the pre-op exam but before in... Read more
Reader Question:
You Can Sometimes Use JW for Discarded Drugs
Question: The pain management specialist we code for is losing quite a bit of money on d... Read more
You Be the Coder:
Remember This Before Appending Q Modifier
Question: I have a case where an anesthesiologist is supervising a CRNA for only th... Read more
Pain Management:
Follow This Advice for Successful Post-op Pain Management Claims
Tip: Pay particular attention to every bit of documentation. Even if your anesthesiolo... Read more
Go Beyond 'Morbid Obesity' for Bariatric Surgery Patients
A single diagnosis isn’t sufficient justification under ICD-10. “Morbid ob... Read more
Keep 3 Points in Mind When Considering an EHR Shift
Do your legwork to make sure what you get is what you need. Switching your practice to... Read more
Reader Question:
Append Modifier 59 for Central and A-Lines
Question: How should we bill for IV replacement when it is documented in the physic... Read more
Reader Question:
Bill by the Anesthesiologist Spending the Longest Amount of Time
Question: Two of our anesthesiologists were involved in a surgical procedure. The f... Read more
Reader Question:
Remember Teaching Must Be One-on-One
Question: How do we code when a teaching physician is involved in a single anesthes... Read more
Reader Question:
Select 64448 for Bilateral Femoral Nerve Blocks
Question: A surgeon completed bilateral knee replacements and asked us to administe... Read more
Reader Question:
Anesthesia Code 00561 Includes Hypothermia
Question: Is hypothermia care included in 00561? North Dakota Subscriber Answer... Read more
Reader Question:
Add Specific Modifiers for Screening Colonoscopy Anesthesia
Question: What is the guideline for reporting anesthesia during a screening colonos... Read more
You Be the Coder:
Choose the Correct Modifier for CRNA Service
Question: Which modifier should we use when CRNAs are involved in a case? Ohio Su... Read more
Start Looking at Your Potential Diagnosis Changes for October
Search beyond ‘anesthesia’ for codes that could affect your claims. The fi... Read more
Use This 8-Point Guide to Strengthen Your HIPAA Training
Remember that every employee needs refreshers. Every person in your practice – p... Read more
Reader Question:
Crosswalk to Correct Anesthesia Code to Find Base Unit
Question: A young woman had an accident while skiing that led to her left shoulder ... Read more
Reader Question:
Watch for the Concurrent Cases to Correctly Append the Modifiers
Question: How do the anesthesia modifiers help us to differentiate between medical ... Read more
Reader Question:
Encourage Thorough Documentation for 'Bilateral' 62311
Question: How do I capture the “bilateral” portion of 62311? The descri... Read more
Reader Question:
Note the Age for Pediatric Patient When Achieving Hypothermia
Question: How do we code when we have to use a pump oxygenator to achieve hypotherm... Read more
Reader Question:
Identify the Sinus Tarsi Injection Location
Question: How do you code for sinus tarsi injection? North Carolina Subscriber ... Read more
Reader Question:
Pay Attention to Global Period for 62350 Follow-Up
Question: Our physician completed a revision of a tunneled spinal epidural catheter... Read more
Reader Question:
Follow This Advice With BAs for Phase 2 HIPAA Audits
Question: When the Phase 2 HIPAA audits move to business associates (BAs), does our... Read more
You Be the Coder:
Check These Options for Percutaneous Image Guided Procedures
Question: What are the differences between codes 01935 and 01936? California Subs... Read more
Modifier Focus:
Get Answers to Your Top Questions About P Modifiers
Educate providers so they use the same classification guidelines. Many aspects of ane... Read more
Physical Status:
Focus on P Modifiers for Data, Not Dollars
But don’t forget that some insurers will reimburse for higher levels. Physical s... Read more
Don't Miss Out on Reimbursement for Parkinson's
Plus: You might need to include modifier 22 on your claim. Sometimes your anesthesia p... Read more
Patient Relations:
Keep 4 Points in Mind When Filling Medical Record Requests
Tip: See it as a chance to improve patient relationships. Patients who request access ... Read more
Reader Question:
Learn to Distinguish QX From QZ
Question: I am new to anesthesia billing and still trying to understand some of the... Read more
Reader Question:
Choose 00910 for Anesthesia During UroLift Procedure
Question: What anesthesia code should we use for surgery involving a UroLift? Mis... Read more
Reader Question:
Here's How Split Billing Works
Question: Can you help me understand how insurance companies process a 50/50 split ... Read more
Reader Question:
Yes, Ultrasound Guidance Is Allowed With Line Placements
Question: Some of our physicians say that they are able to bill 36620 with an ultra... Read more
Reader Question:
Private Payer Will Take Modifier 33 With 00810
Question: A patient was seen for a screening colonoscopy. Can I use modifier 33 wit... Read more
You Be the Coder:
Watch Your Handling of Same-Day Return to Surgery
Question: I’m coding for a Medicare patient who required surgery for a prosth... Read more
Coding Edits:
Pay Attention to the Newest CCI Pairs for Pain Management
Just because you don’t find 00XXX codes doesn’t mean you should ignore edits... Read more
Code Update:
Prepare Now for ICD-10 Additions in October
Say good-bye to the code freeze – especially for cardiology claims. The five-yea... Read more
Dig Into G56 for Carpal Tunnel Syndrome Diagnoses
Heads up: Don’t ignore categories with associated signs and symptoms. A patient... Read more
Reader Question:
Use 01968 in Conjunction With 01967
Question: An OB patient had an epidural on one day followed by a C-section the next... Read more
Reader Question:
Know Who Placed the Line to Bill Separately
Question: Our anesthesiologist initiated a surgery case for a Medicare patient. She... Read more
Reader Question:
Understand How Modifier 22 Connects to ZA and ZC
Question: My claims were denied when I used modifier ZC with anesthesia services. C... Read more
Reader Question:
Verify Whether to Follow HIPAA or State PHI Guides
Question: What should we do if our state law is different from HIPAA regarding fees... Read more
Reader Question:
Watch Which Eye Was Affected for ICD-10 Coding
Question: Our anesthesiologist was present during ophthalmic surgery to remove a fo... Read more
You Be the Coder:
Remember Your Other Choice for TEE Monitoring
Question: Can you explain to me what TEE monitoring is and how I code for it? Was... Read more
Anesthesia 101:
Move Past These 5 Myths About Moderate Sedation
Get clear on everyone’s role in the procedure. CPT® includes several codes f... Read more
Code Options:
Turn to These Choices for Moderate Sedation Services
Watch the time and who administers the sedation. CPT® 2016 includes six codes for ... Read more
Don't Get Broken Up Over Pathologic Fracture Coding
Start by determining whether it’s traumatic or pathologic. Fracture coding can b... Read more
Get on Board With HIPAA's View of Access Rights
Are you complying with these 6 key aspects? If you’re unsure about when and how ... Read more
Reader Question:
Choose 01991 or 01992 for Anesthesia With Nerve Block
Question: We understand billing for anesthesia in conjunction with a paraspinal ner... Read more
Reader Question:
Report the Anesthesia Code With More Base Units
Question: We submitted both 00740 and 00810 for anesthesia during a procedure, but ... Read more
Reader Question:
Always Report C-Section Code When a Planned Vaginal Delivery Changes
Question: A patient had an epidural for labor from 17:16 to 22:12, and then a C-sec... Read more
Reader Question:
Get the Rundown on Reporting Epidural Steroid Injections
Question: I’m new to anesthesia and pain management coding, so am learning a ... Read more
You Be the Coder:
Same-Day Critical Care and Anesthesia
Question: Can we charge for critical care and anesthesia on the same day by the sam... Read more
Pediatric Care:
Get Answers to 2 Common Peds Anesthesia Scenarios
Plus, here’s your refresher on when to possibly include +99100. Providing anesth... Read more
Crohn's Disease Brings Complications, But Don't Let It Complicate Your Coding
Now you can get more specific with a 6th digit. Providing anesthesia for a patient wit... Read more
Case Study:
Learn From This HIPAA Case to Avoid Paying the Same Penalties
Take care: OCR is stepping up its enforcement game in wake of OIG reports. If you&rsqu... Read more
Reader Question:
Note the Associated Notes of Codes Descriptors
Question: Is special care for hypothermia included in anesthesia codes? Ohio Subs... Read more
Reader Question:
Capture Bilateral Procedure by Adding Modifier 59 and Documentation
Question: When I use code 62311, how do I capture the “bilateral&rd... Read more
Reader Question:
Remember to Count Correctly for Medial Branch Blocks
Question: How should we code for a medial branch block (MBB) of L2-3, L3-4, and L4-... Read more
Reader Question:
Report Repeat C-section With Z3A
Question: Our provider billed O34.21 and Z 37.0 in connection with a repeat Cesarea... Read more
You Be the Coder:
Know How to Code TIVA
Question: What would the anesthesia code be if the physician administered total int... Read more
CCI 2016:
Beware of Reporting These New Procedure Codes With Anesthesia
New edits reach across the anesthesia spectrum. Anesthesia providers are being hard-hi... Read more
Start the New Year With the Right Collections Perspective
Tip: Double check every detail of your patients’ information. You might have mov... Read more
Get Details From Surgeon to Confirm Primary Pulmonary Hypertension
Heads up: Pay attention to the new Excludes1 note. Knowing that a patient has hyperten... Read more
Reader Question:
Select 01991 for the Supine Position
Question: If the anesthesiologist is providing anesthesia via TIVA or MAC for joint... Read more
Reader Question:
Learn to Calculate TBSA
Question: What are our coding options for a second and third degree burn excision? New... Read more
Reader Question:
Look to 00561 for Your Youngest Pump Oxygenator Patients
Question: Our anesthesiologist used a pump oxygenator to accomplish hypothermia and rewa... Read more
Reader Question:
Report 00470 for Sternal Wire Removal
Question: We provided anesthesia during the exploration of a sterna incision with remova... Read more
Reader Question:
Bolster Documentation Before Reporting Anesthesia for 62304
Question: What is the correct anesthesia code to report for 62304? Indiana Subscriber ... Read more
Reader Question:
Yes, You Can Translate Your Own Handwriting for MAC Review
Question: One of my physicians has handwriting so terrible that I’m afraid of what... Read more
Reader Question:
Brush Up on Your Locum Tenens Criteria
Question: One of our physicians will be taking a six-month sabbatical, so we need to hir... Read more
You Be the Coder:
Know When and How to Use P Modifiers
Question: Why do we need to use P modifiers even when we don’t get paid extra for ... Read more
Include All These Details for Cancelled Anesthesia
Remember, timing is everything. As an anesthesia coder, you know you have special cons... Read more
More Specificity Helps You Report COPD
You’ll still have 7 choices to consider. Chronic obstructive pulmonary disease (... Read more
Watch 3 Areas in Relation to 2016 OIG Work Plan
Electronic info is under special scrutiny. Details related to electronic protected he... Read more
Reader Question:
Refresh Your Knowledge of Qualifying Circumstances
Question: What are “qualifying circumstances for anesthesia,” and when ... Read more
Reader Question:
Know When Modifier PT Applies to Colonoscopy
Question: A new Medicare patient was scheduled for a routine screening colonoscopy ... Read more
Reader Question:
Avoid Denials for Field Avoidance
Question: Are there certain codes to bill for the field avoidance? What kind of doc... Read more
Reader Question:
Carefully Calculate Time for Anesthesia Services
Question: Our physician provided anesthesia during an exploration of the pericardia... Read more
Reader Question:
Look at Kenalog Strength to Calculate Units
Question: Our physician administered 2 mL of 0.75% Marcaine and 0.25mL of Kenalog f... Read more
You Be the Coder:
Know How to Manage Postoperative Pain Management Services
Question: Can we separately bill for postoperative pain management services by the ... Read more