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Coding Question

Susan m Posted Tue 07th of April, 2015 11:42:00 AM

Our anesthesiologist was "in attendance" during a surgery but anesthesia was never administered. He completed an evaluation form on the patient and the surgeon's op report mentions that "anesthesia was in attendance" during the procedure. The patient unfortunately died during the procedure. Total documented time for our anesthesiologist was 53 minutes.

The procedure was an EGD due to acute blood loss. Patient developed acute tachycardia during procedure. Can we code for being "in attendance" during the procedure?

Thanks so much!

SuperCoder Answered Wed 08th of April, 2015 05:23:35 AM

Yes you can bill for Anesthesiologist. Anesthesia time starts when the Anesthesiologist begins to prepare the patient for the Anesthesia care in the operating room. It is not only about providing Anesthesia. Since the Anesthesiologist had done the evaluation of the patient and the total documented time for Anesthesiologist was 53 minutes, so you can bill for the services of the Anesthesiologist.

Susan m Posted Wed 08th of April, 2015 10:02:45 AM

What would be will? An E&M code? This patient was inpatient when the procedure was done.

SuperCoder Answered Thu 09th of April, 2015 06:05:02 AM

Kindly explain what do you mean by: What would be will?

Do you mean What would we bill?

Susan m Posted Fri 10th of April, 2015 13:56:59 PM

YES, That was a typo. :)

I meant what should we bill for the anesthesiologist? The patient was inpatient. Our anesthesiologist was asked to be in attendance during the surgery and he documented 53 minutes of time.

Thanks!

SuperCoder Answered Mon 13th of April, 2015 07:19:34 AM

Bill CPT code 00740 with AA modifier. Bill for 53 minutes.

Susan m Posted Mon 13th of April, 2015 10:29:02 AM

Thanks so much for your help!

SuperCoder Answered Mon 13th of April, 2015 11:07:57 AM

You are welcome.

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