Know Anesthesia billing claim guidelines and rules for getting payments. How to bill the anesthesia claim in the correct manner without time delay. Medicare Anesthesia billing and coding. procedure code list , procedure codes.
Sunday, July 3, 2016
Definition of Concurrent Medically Directed Anesthesia Procedures with time calculation example
Concurrency is defined with regard to the maximum number of procedures that the physician is medically directing within the context of a single procedure and whether these other procedures overlap each other. Concurrency is not dependent on each of the cases involving a Medicare patient. For example, if an anesthesiologist directs three concurrent procedures, two of which involve non-Medicare patients and the remaining a Medicare patient, this represents three concurrent cases. The following example illustrates this concept and guides physicians in determining how many procedures they are directing.
EXAMPLE
Procedures A through E are medically directed procedures involving CRNAs and furnished between January 1, 1992 and December 31, 1997 (1998 concurrent instructions can be found in subsection C.) The starting and ending times for each procedure represent the periods during which anesthesia time is counted. Assume that none of the procedures were cataract or iridectomy anesthesia.
Procedure A begins at 8:00 a.m. and lasts until 8:20 a.m.
Procedure B begins at 8:10 a.m. and lasts until 8:45 a.m.
Procedure C begins at 8:30 a.m. and lasts until 9:15 a.m.
Procedure D begins at 9:00 a.m. and lasts until 12:00 noon.
Procedure E begins at 9:10 a.m. and lasts until 9:55 a.m.
Procedure Number of Concurrent Medically Directed Procedures Base Unit Reduction Percentage
A 2 10%
B 2 10%
C 3 25%
D 3 25%
E 3 25%
From 8:00 a.m. to 8:20 a.m., the length of procedure A, the anesthesiologist medically directed two concurrent procedures, A and B.
From 8:10 a.m. to 8:45 a.m., the length of procedure B, the anesthesiologist medically directed two concurrent procedures. From 8:10 to 8:20 a.m., the anesthesiologist medically directed procedures A and B. From 8:20 to 8:30 a.m., the anesthesiologist medically directed only procedure B. From 8:30 to 8:45 a.m., the anesthesiologist medically directed procedures B and C. Thus, during procedure B, the anesthesiologist medically directed, at most, two concurrent procedures.
From 8:30 a.m. to 9:15 a.m., the length of procedure C, the anesthesiologist medically directed three concurrent procedures. From 8:30 to 8:45 a.m., the anesthesiologist
medically directed procedures B and C. From 8:45 to 9:00 a.m., the anesthesiologist medically directed procedure C. From 9:00 to 9:10 a.m., the anesthesiologist medically directed procedures C and D. From 9:10 to 9:15 a.m., the anesthesiologist medically directed procedures C, D and E. Thus, during procedure C, the anesthesiologist medically directed, at most, three concurrent procedures.
The same analysis shows that during procedure D or E, the anesthesiologist medically directed, at most, three concurrent procedures.
Subscribe to:
Post Comments (Atom)
Popular Posts
-
CPT code and description 64479 - Injection, anesthetic agent and/or steroid, transforaminal epidural; Cervical or Thoracic, single level ...
-
Lumbar puncture Procedure code and Description 62270 T Spinal puncture, lumbar, diagnostic 0206 $373 $204 62272 T Spinal puncture, the...
-
CPT NEW DESCRIPTION 64633 DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE(S), WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT)...
-
cpt code and description 64450 - Injection, anesthetic agent; other peripheral nerve or branch - average fee amount - $80 - $100 64405 ...
-
Billing Modifiers The following modifiers are used when billing for anesthesia services: • QX - Qualified nonphysician anesthetist wit...
-
CPT CODE and Description 99143 - Moderate sedation services (other than those services described by codes 00100-01999) provided by the sa...
-
CPT LIST OF CODES COVERED FOR PROVIDER TYPE 38, CRNA 01112 ANES BONE MARROW ASPIRATION &/OR BIOPSY ANTER/POST 01120 ANESTHESIA FOR PR...
-
Anesthesia services are provided under difficult circumstances which may affect the condition of the patient, or present unusual operative c...
-
EPSDT DENTAL PROGRAM Dental Hospital Calls and Sedation Policy Revisions D9230 NITROUS OXIDE – analgesia, anxiolysis, inhalation of nitr...
-
ANESTHESIA REIMBURSEMENT METHODOLOGY Code Description Comments 01960 Anesthesia for vaginal delivery only ...

No comments:
Post a Comment