Wednesday, April 13, 2016

Global payment in Anesthesia services

Global Services

Global reimbursement of anesthesia administration includes the following:

• Pre-anesthesia evaluation [Physicians’ Current Procedural Terminology (CPT) codes 99201-99205, 99221-99223];

• Post-postoperative visits (CPT codes 99211-99215, 99231-99233);

• Anesthetic or analgesic administration;

Local anesthesia during surgery;

• Monitoring of electrocardiograms (EKGs), pulse breathing, blood pressure, electroencephalogram and other neurological monitoring;

• Monitoring of left ventricular or valve function via transesophageal echocardiogram (TEE);

• Monitoring of intravascular fluids (IVs), blood administration and fluids used during cold cardioplegia through non-invasive means; and

• Maintenance of open airway and ventilator measurements and monitoring.

Arterial lines and monitoring are no longer included in the global anesthesia fee. Bill for these services separately using the same major/minor guidelines that are used with surgical services, when billed with other procedures such as Swan Ganz

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