1. Anesthesia
Coding and Billing Services
Anesthesia

2. 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

3. 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

4. $ 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
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.

5. 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

6. 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.

7. Understand the modifiers

8. Eliminate incorrect codes

9. Read code descriptions

10. Follow anesthesia rules

11. Examine scenarios carefully

12. 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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