Anesthesia Coding and Billing Services Anesthesia

Objectives Identify questions requiring anesthesia codes Eliminate incorrect codes This video will help you: Identify questions requiring anesthesia codes Eliminate incorrect codes Determine how to properly use anesthesia codes. Determine how to properly use anesthesia codes

Review the guidelines first! Introduction Review the guidelines first! ANESTHESIA Physical status modifiers Qualifying circumstance add-on codes Anesthesia is used by all of the surgical specialties. It is administered for some medical procedures and even some radiological procedures. As with all CPT chapters, review the guidelines before assigning codes. Anesthesia has specific requirements with relation to physical status modifiers and qualifying circumstance add-on codes. Surgery Radiology Medicine

$ Key Points to Remember -AA -QZ -P1 Use only the highest-paying code Beware of adding multiple codes together (unbundling) 58150 Total hysterectomy $1200 58700 Salpingectomy $650 584940 Oophorectomy $685 TOTAL CHARGE: $2,535 Anesthesia codes are heavily dependent on modifiers -AA -QZ -P1 There are a few key points to remember when coding anesthesia services: CMS dictates that you use only the highest-paying code for anesthesia. Beware of adding multiple codes together. This is considered unbundling. Lastly, anesthesia codes are heavily dependant on modifiers.

Certified Registered Nurse Anesthetist Identify Provider ? ? First identify the provider ? When coding for anesthesia, first identify the provider. This will help determine the proper code. A variety of professionals can apply these services. The Anesthesiologist The Surgeon performing the services Or, a CRNA (Certified Registered Nurse Anesthetist); with or without supervision. Certified Registered Nurse Anesthetist Anesthesiologist Surgeon

47 QZ AA Provider Codes CPT CPT HCPCS QZ CPT AA Use if the surgeon applies regional or general anesthesia. Use if a CRNA provides services without physician supervision. Use if services are provided by the anesthesiologist. If the surgeon applies regional or general anesthesia, refer to modifier 47 in the CPT manual. This is appended to the service code, not an anesthesia code. If a CRNA provides services without physician supervision, refer to modifier QZ in the HCPCS manual. If services are provided by the anesthesiologist, refer to modifier AA in the HCPCS manual in addition to the physical status modifiers in the CPT manual. This is an appended service code. Use in addition to the physical status modifiers in the CPT manual.

Understand the modifiers

Eliminate incorrect codes

Read code descriptions

Follow anesthesia rules

Examine scenarios carefully

of anesthesia is a complicated process Summary Keys to Success Identify the providers Narrow down choices Select the code Correct coding of anesthesia is a complicated process. However, understanding who provided the services and how to reference modifiers will easily point to the correct route to take. Correct coding of anesthesia is a complicated process

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