Anesthesia Coding Alert
Coding Refresher:
Getting Tripped Up by 01967 Claims? Our Q&As; Keep Things Straight
Know when – and if -- +01968 comes into play. Coding for obstetrical cases always has t... Read more
Getting Tripped Up by 01967 Claims? Our Q&As; Keep Things Straight
Know when – and if -- +01968 comes into play. Coding for obstetrical cases always has t... Read more
Pain Management:
Confirm CTS Diagnosis to Start Down the Right Path
Answer one simple question before beginning to code. When you are coding for carpal tunne... Read more
Confirm CTS Diagnosis to Start Down the Right Path
Answer one simple question before beginning to code. When you are coding for carpal tunne... Read more
Regulations:
More Flexibility for Opioid Treatment Could Be Coming
Feds say telemedicine could play a role. Substance abuse has plagued Americans for decade... Read more
More Flexibility for Opioid Treatment Could Be Coming
Feds say telemedicine could play a role. Substance abuse has plagued Americans for decade... Read more
Reader Question:
Sometimes Payers Might Need Extra Diagnoses
Question: The practice I recently began working with bills for anesthesia services during ... Read more
Sometimes Payers Might Need Extra Diagnoses
Question: The practice I recently began working with bills for anesthesia services during ... Read more
Reader Question:
Evaluate All the Options Before Billing TEE
Question: One of our anesthesiologists performs TEE prior to or during certain surgeries. ... Read more
Evaluate All the Options Before Billing TEE
Question: One of our anesthesiologists performs TEE prior to or during certain surgeries. ... Read more
Reader Question:
Append Modifier QS for MAC During Excision
Question: One of our providers excised a malignant lesion from a patient's forearm under M... Read more
Append Modifier QS for MAC During Excision
Question: One of our providers excised a malignant lesion from a patient's forearm under M... Read more
Reader Question:
Make the Best Choice for Anesthesia During 61070
Question: A patient needed anesthesia for services reported with 61070 and 75809. Wh... Read more
Make the Best Choice for Anesthesia During 61070
Question: A patient needed anesthesia for services reported with 61070 and 75809. Wh... Read more
Reader Question:
Belly Button Differentiates 'Upper' from 'Lower' Abdomen
Question: What is the best way to determine the correct anesthesia codes for upper and low... Read more
Belly Button Differentiates 'Upper' from 'Lower' Abdomen
Question: What is the best way to determine the correct anesthesia codes for upper and low... Read more
Reader Question:
Don't Expect Payment for In-utero Anesthesia
Question: We had a unique situation in which two anesthesiologists were involved with care... Read more
Don't Expect Payment for In-utero Anesthesia
Question: We had a unique situation in which two anesthesiologists were involved with care... Read more
Reader Question:
Watch the Payer Before Filing With Modifier PT
Question: We have only one diagnosis to support using anesthesia during a screening colono... Read more
Watch the Payer Before Filing With Modifier PT
Question: We have only one diagnosis to support using anesthesia during a screening colono... Read more
You Be the Coder:
Coding for Anesthesia During EEG
Question: An EEG was performed on a patient under general anesthesia due to behavioral iss... Read more
Coding for Anesthesia During EEG
Question: An EEG was performed on a patient under general anesthesia due to behavioral iss... Read more
Modifier Refresher:
Planning to Report Modifier QZ? Read These 3 Scenarios First
Different states can have different reporting requirements. The current HCPCS manual incl... Read more
Planning to Report Modifier QZ? Read These 3 Scenarios First
Different states can have different reporting requirements. The current HCPCS manual incl... Read more
Medicare News:
Keep Updating Patient Records as New Cards Are Sent
Prepare now for the complete switch-over in 2020. Another important step in shifting towa... Read more
Keep Updating Patient Records as New Cards Are Sent
Prepare now for the complete switch-over in 2020. Another important step in shifting towa... Read more
Compliance:
Send CERT Documentation ASAP, When Asked
MACs are noticing that providers aren't being timely. If you've received a documentation ... Read more
Send CERT Documentation ASAP, When Asked
MACs are noticing that providers aren't being timely. If you've received a documentation ... Read more
Reader Question:
Fluoroscopic Guidance Is Part of 0275T for PILD
Question: Can we report fluoroscopy during PILD in conjunction with 0275T? Maine Subscrib... Read more
Fluoroscopic Guidance Is Part of 0275T for PILD
Question: Can we report fluoroscopy during PILD in conjunction with 0275T? Maine Subscrib... Read more
Reader Question:
Remember Locum Tenens Is for Physicians
Question: Can we bill a CRNA's service with a locum tenens modifier? He is filling in for ... Read more
Remember Locum Tenens Is for Physicians
Question: Can we bill a CRNA's service with a locum tenens modifier? He is filling in for ... Read more
Reader Question:
Combine Times to Bill Under One Provider, If Possible
Question: We have a labor epidural that has two start and stop times by two anesthesiologi... Read more
Combine Times to Bill Under One Provider, If Possible
Question: We have a labor epidural that has two start and stop times by two anesthesiologi... Read more
Reader Question:
Choose from E/M Codes to Cover Work Before Canceled Surgery
Question: Our anesthesiologist spent about 20 minutes on a Medicare patient's pre-anesthes... Read more
Choose from E/M Codes to Cover Work Before Canceled Surgery
Question: Our anesthesiologist spent about 20 minutes on a Medicare patient's pre-anesthes... Read more
Reader Question:
Include Documentation to Support Anesthesia During EEG
Question: Our provider administered general anesthesia for a patient having an EEG; her ph... Read more
Include Documentation to Support Anesthesia During EEG
Question: Our provider administered general anesthesia for a patient having an EEG; her ph... Read more
Reader Question:
CTS and TTS Are Similar, But Not Identical
Question: A new coder in our department told us that her previous practice treated patient... Read more
CTS and TTS Are Similar, But Not Identical
Question: A new coder in our department told us that her previous practice treated patient... Read more
Reader Question:
Pay Attention to All the Options for TMJ Diagnoses
Question: How should I report a diagnosis of temporomandibular joint (TMJ) disorder? Mont... Read more
Pay Attention to All the Options for TMJ Diagnoses
Question: How should I report a diagnosis of temporomandibular joint (TMJ) disorder? Mont... Read more
You Be the Coder:
Reporting Anesthesia for GI Endoscopy
Question: We have a debate in our office regarding how to bill for anesthesia during gastr... Read more
Reporting Anesthesia for GI Endoscopy
Question: We have a debate in our office regarding how to bill for anesthesia during gastr... Read more
Procedure Focus:
Can You Report Anesthesia in Addition to Double Lumen Cath?
Read what some experts say. Your anesthesiologist documents that he administered general ... Read more
Can You Report Anesthesia in Addition to Double Lumen Cath?
Read what some experts say. Your anesthesiologist documents that he administered general ... Read more
ICD-10:
Check Out These Diagnosis Changes for Pain Management
It's time to incorporate the updates for 2019. If you help code for a pain management spe... Read more
Check Out These Diagnosis Changes for Pain Management
It's time to incorporate the updates for 2019. If you help code for a pain management spe... Read more
Breaking News:
Watch for CPT® Changes That Could Affect Your Coding in 2019
Hint: You'll see more updates for pain management than anesthesia. The American Medical A... Read more
Watch for CPT® Changes That Could Affect Your Coding in 2019
Hint: You'll see more updates for pain management than anesthesia. The American Medical A... Read more
Reader Question:
Report Standby Service Even If Payment Isn't Expected
Question: Our anesthesiologist was called into an in-office case to provide sedation for a... Read more
Report Standby Service Even If Payment Isn't Expected
Question: Our anesthesiologist was called into an in-office case to provide sedation for a... Read more
Reader Question:
Watch the Add-on Aspect of +76937 Before Filing
Question: We are billing ultrasound guidance +76937 x 2 when performing two procedures (su... Read more
Watch the Add-on Aspect of +76937 Before Filing
Question: We are billing ultrasound guidance +76937 x 2 when performing two procedures (su... Read more
Reader Question:
Remember the Modifier for Separate Line Placement Coding
Question: Our anesthesiologist administered general anesthesia during a procedure. He also... Read more
Remember the Modifier for Separate Line Placement Coding
Question: Our anesthesiologist administered general anesthesia during a procedure. He also... Read more
Reader Question:
Build Your Risk Plan Around These Questions
Question: Our practice is trying to evaluate our practice's liabilities and risks but we'r... Read more
Build Your Risk Plan Around These Questions
Question: Our practice is trying to evaluate our practice's liabilities and risks but we'r... Read more
You Be the Coder:
Reporting Modifier 58 for Your Anesthesiologist
Question: Is it appropriate to use modifier 58 on anesthesia encounters when the surgeon p... Read more
Reporting Modifier 58 for Your Anesthesiologist
Question: Is it appropriate to use modifier 58 on anesthesia encounters when the surgeon p... Read more
ICD-10:
Don't Miss These New Options for More Specific Diagnoses in 2019
Caveat: Your provider will still need detailed documentation for you to code correctly. T... Read more
Don't Miss These New Options for More Specific Diagnoses in 2019
Caveat: Your provider will still need detailed documentation for you to code correctly. T... Read more
Compliance:
Brush Up on How Hard HIPAA Violation Penalties Can Hit
No matter the cause, they're nothing to laugh at. Having a solid understanding of HIPAA r... Read more
Brush Up on How Hard HIPAA Violation Penalties Can Hit
No matter the cause, they're nothing to laugh at. Having a solid understanding of HIPAA r... Read more
Reader Question:
Get Clear Documentation to Support 01922-23 With MRI
Question: A child would not cooperate for an MRI procedure, so the provider asked our anes... Read more
Get Clear Documentation to Support 01922-23 With MRI
Question: A child would not cooperate for an MRI procedure, so the provider asked our anes... Read more
Reader Question:
Include the Correct Modifier for Multiple 20550 Injections
Question: Our pain management physician administered four coccygeal ligament injections. S... Read more
Include the Correct Modifier for Multiple 20550 Injections
Question: Our pain management physician administered four coccygeal ligament injections. S... Read more
Reader Question:
Intubation Outweighs Vent Management Service
Question: Can we bill Medicare for intubation (31500), ventilation assist/management (9400... Read more
Intubation Outweighs Vent Management Service
Question: Can we bill Medicare for intubation (31500), ventilation assist/management (9400... Read more
Reader Question:
Stay Away from Modifier 58 on Anesthesia Claims
Question: Is it appropriate to use modifier 58 on anesthesia encounters when the surgeon p... Read more
Stay Away from Modifier 58 on Anesthesia Claims
Question: Is it appropriate to use modifier 58 on anesthesia encounters when the surgeon p... Read more
Reader Question:
Verify Extubation Before Coding Two Procedure Times
Question: Upon emergence, a hernia repair patient experienced cardiac arrest, so staff beg... Read more
Verify Extubation Before Coding Two Procedure Times
Question: Upon emergence, a hernia repair patient experienced cardiac arrest, so staff beg... Read more
Reader Question:
You Can't Bill Separately for BP Monitoring
Question: Can we bill for blood pressure monitoring, pulse oximetry, and running a rhythm ... Read more
You Can't Bill Separately for BP Monitoring
Question: Can we bill for blood pressure monitoring, pulse oximetry, and running a rhythm ... Read more
You Be the Coder:
Billing NG/OG Tube Placement In Addition to Anesthesia
Question: Our anesthesiologist administered general anesthesia for a case. He also provide... Read more
Billing NG/OG Tube Placement In Addition to Anesthesia
Question: Our anesthesiologist administered general anesthesia for a case. He also provide... Read more
Coding Edits:
NCCI 24.2 Ties C9738, C9748 to Many Common Injection Procedures
Be sure you know how to handle the situation The latest round of National Correct Coding ... Read more
NCCI 24.2 Ties C9738, C9748 to Many Common Injection Procedures
Be sure you know how to handle the situation The latest round of National Correct Coding ... Read more
Compliance:
Is Your Office on Track for Big Changes to Medicare Cards?
The countdown has begun for full implementation by January 2020. The Centers for Medicare... Read more
Is Your Office on Track for Big Changes to Medicare Cards?
The countdown has begun for full implementation by January 2020. The Centers for Medicare... Read more
Reader Question:
Don't Jump to Report Anesthesia With TPI
Question: Anesthesia was given when a patient had a trigger point injection because the pa... Read more
Don't Jump to Report Anesthesia With TPI
Question: Anesthesia was given when a patient had a trigger point injection because the pa... Read more
Reader Question:
Pass the Criteria Check Before Reporting Modifier 24
Question: The hospital requested that our anesthesiologist who will be administering anest... Read more
Pass the Criteria Check Before Reporting Modifier 24
Question: The hospital requested that our anesthesiologist who will be administering anest... Read more
Reader Question:
Code 62263 Covers Multiple Session Days
Question: My physician performed an epidural lysis and administered three injections over ... Read more
Code 62263 Covers Multiple Session Days
Question: My physician performed an epidural lysis and administered three injections over ... Read more
Reader Question:
Submit 96103 for Behavioral Health Screening
Question: What code applies to behavioral health screenings for patients who are in chroni... Read more
Submit 96103 for Behavioral Health Screening
Question: What code applies to behavioral health screenings for patients who are in chroni... Read more
Reader Question:
Get the Lowdown on TIVA vs. MAC
Question: I was always under the impression that total intravenous anesthesia (TIVA) was c... Read more
Get the Lowdown on TIVA vs. MAC
Question: I was always under the impression that total intravenous anesthesia (TIVA) was c... Read more
Reader Question:
Keep Tabs on Your MIPS Status
Question: My practice is transitioning to Merit-Based Incentive Payment System (MIPS&#... Read more
Keep Tabs on Your MIPS Status
Question: My practice is transitioning to Merit-Based Incentive Payment System (MIPS&#... Read more
Reader Question:
Pinpoint the Best Diagnosis for Post-laminectomy Syndrome
Question: The provider consulted with a patient two weeks after a cervical laminectomy for... Read more
Pinpoint the Best Diagnosis for Post-laminectomy Syndrome
Question: The provider consulted with a patient two weeks after a cervical laminectomy for... Read more
You Be the Coder:
Count Time Carefully With Line Placements
Question: A patient arrives at the OR at 7:30 a.m. The anesthesiologist places an A-line... Read more
Count Time Carefully With Line Placements
Question: A patient arrives at the OR at 7:30 a.m. The anesthesiologist places an A-line... Read more
Add-on Codes:
Think of 3 Things Before Adding +99100 to Your Claim
Qualifying circumstances can boost pay in some cases. Qualifying circumstances codes migh... Read more
Think of 3 Things Before Adding +99100 to Your Claim
Qualifying circumstances can boost pay in some cases. Qualifying circumstances codes migh... Read more
QC Codes:
Refresh Your Memory on Qualifying Circumstances Codes
Don't overlook the potential for extra reimbursement. Qualifying circumstances (QC) codes... Read more
Refresh Your Memory on Qualifying Circumstances Codes
Don't overlook the potential for extra reimbursement. Qualifying circumstances (QC) codes... Read more
Pain Management:
Coding for Somatic Nerve Block? Remember Your Anatomy
Pay special attention to trigeminal and GON injections. If your anesthesia provider also ... Read more
Coding for Somatic Nerve Block? Remember Your Anatomy
Pay special attention to trigeminal and GON injections. If your anesthesia provider also ... Read more
Reader Question:
Remember Swan-Ganz 93503 Includes 36556
Question: Our anesthesiologist recently documented that we should code for a central line,... Read more
Remember Swan-Ganz 93503 Includes 36556
Question: Our anesthesiologist recently documented that we should code for a central line,... Read more
Reader Question:
Verify Details Before Coding Same-day Blood Patch
Question: How do I code an epidural blood patch procedure on the same day as labor and del... Read more
Verify Details Before Coding Same-day Blood Patch
Question: How do I code an epidural blood patch procedure on the same day as labor and del... Read more
Reader Question:
Anesthesia for Pediatric Blood Draw Leads to 00400
Question: What anesthesia code should I use for a 5-year-old who was given general anesthe... Read more
Anesthesia for Pediatric Blood Draw Leads to 00400
Question: What anesthesia code should I use for a 5-year-old who was given general anesthe... Read more
Reader Question:
Watch the Details for 01967/+01968 Combo Claim
Question: The anesthesia provider administered an epidural for pain management during a pa... Read more
Watch the Details for 01967/+01968 Combo Claim
Question: The anesthesia provider administered an epidural for pain management during a pa... Read more
Reader Question:
Purpose of Procedure Separates SI Injection From Arthrogram
Question: What is the difference between a sacroiliac (SI) joint injection and an SI joint... Read more
Purpose of Procedure Separates SI Injection From Arthrogram
Question: What is the difference between a sacroiliac (SI) joint injection and an SI joint... Read more
You Be the Coder:
Key Points for Postop Catheter Coding
Question: Our provider used monitored anesthesia care (MAC) for the primary mode of anesth... Read more
Key Points for Postop Catheter Coding
Question: Our provider used monitored anesthesia care (MAC) for the primary mode of anesth... Read more
Qualifying Circumstances:
Follow 3 Tips Before Adding +99135 to Your Claim
Good documentation is especially key. The anesthesia section of CPT® includes four add-o... Read more
Follow 3 Tips Before Adding +99135 to Your Claim
Good documentation is especially key. The anesthesia section of CPT® includes four add-o... Read more
Security:
Focus on 5 Areas to Reduce Your Risk of PHI Breaches
Educating front desk staff is a must Every practice wants to avoid – or at least reduce... Read more
Focus on 5 Areas to Reduce Your Risk of PHI Breaches
Educating front desk staff is a must Every practice wants to avoid – or at least reduce... Read more
Compliance:
Use This Tool to Keep Tabs on MIPS
CMS has made it easier to check your status. Compliance and quality programs can be trick... Read more
Use This Tool to Keep Tabs on MIPS
CMS has made it easier to check your status. Compliance and quality programs can be trick... Read more
Reader Question:
Trade 99152 for G0500 With Medicare Advantage
Question: BCBS Medicare Advantage is denying claims with 99152 and +99153, saying it's a n... Read more
Trade 99152 for G0500 With Medicare Advantage
Question: BCBS Medicare Advantage is denying claims with 99152 and +99153, saying it's a n... Read more
Reader Question:
CRNA Administering Sedation During MRI
Question: Our CRNA performed moderate sedation during an MRI. Is this a payable service? I... Read more
CRNA Administering Sedation During MRI
Question: Our CRNA performed moderate sedation during an MRI. Is this a payable service? I... Read more
Reader Question:
Steer Clear of 'Unspecified' Diagnosis for Abortion
Question: Our provider documented that he performed a D&C for an incomplete abortion. ... Read more
Steer Clear of 'Unspecified' Diagnosis for Abortion
Question: Our provider documented that he performed a D&C for an incomplete abortion. ... Read more
Reader Question:
Therapeutic Femoral Nerve Block = 64448
Question: How should I code a therapeutic nerve block of the femoral nerve when our pain m... Read more
Therapeutic Femoral Nerve Block = 64448
Question: How should I code a therapeutic nerve block of the femoral nerve when our pain m... Read more
Reader Question:
Watch the Details Before Coding CVP or PAC
Question: If the surgeon discontinues a procedure after anesthesia, is it appropriate to a... Read more
Watch the Details Before Coding CVP or PAC
Question: If the surgeon discontinues a procedure after anesthesia, is it appropriate to a... Read more
Reader Question:
Know What Distinguishes TIVA from MAC
Question: I was always under the impression that total intravenous anesthesia (TIVA) was c... Read more
Know What Distinguishes TIVA from MAC
Question: I was always under the impression that total intravenous anesthesia (TIVA) was c... Read more
You Be the Coder:
Watch the Details Before Coding CVP or PAC
Question: What documentation do we need from our anesthesiologist to support coding for CV... Read more
Watch the Details Before Coding CVP or PAC
Question: What documentation do we need from our anesthesiologist to support coding for CV... Read more
Qualifying Circumstances:
Don't Let Hypothermia Coding Stop Your Claims Cold
Refresh your knowledge on 4 key points to +99116. Qualifying circumstances codes can help... Read more
Don't Let Hypothermia Coding Stop Your Claims Cold
Refresh your knowledge on 4 key points to +99116. Qualifying circumstances codes can help... Read more
Security:
Do You Know What These 10 Cyber Terms Mean?
You'd better, if you want to keep your information protected. No matter how up-to-speed y... Read more
Do You Know What These 10 Cyber Terms Mean?
You'd better, if you want to keep your information protected. No matter how up-to-speed y... Read more
Quality Measures:
Heads-Up on Some Potential Medicare Revamping
EHR system could see big changes. Technology in healthcare has some definite advantages, ... Read more
Heads-Up on Some Potential Medicare Revamping
EHR system could see big changes. Technology in healthcare has some definite advantages, ... Read more
Reader Question:
Report Mediport Placement With 36561 – Possibly
Question: I am coding a case for a patient with breast cancer (C50.912, C77.3) who receive... Read more
Report Mediport Placement With 36561 – Possibly
Question: I am coding a case for a patient with breast cancer (C50.912, C77.3) who receive... Read more
Reader Question:
Choose 'Unlisted' 64999 for ESP with PCA Catheter
Question: What is the correct CPT® code to use for an erector spinae block where a cathet... Read more
Choose 'Unlisted' 64999 for ESP with PCA Catheter
Question: What is the correct CPT® code to use for an erector spinae block where a cathet... Read more
Reader Question:
Check Whether Payer Prefers Dental Code or 00170
Question: Can a medical anesthesiologist bill dental (CDT®) anesthesia codes for general ... Read more
Check Whether Payer Prefers Dental Code or 00170
Question: Can a medical anesthesiologist bill dental (CDT®) anesthesia codes for general ... Read more
Reader Question:
Leave Time Calculations Off Claims for ESI
Question: When you bill out codes 99151-+99157, don't you enter this on the professional c... Read more
Leave Time Calculations Off Claims for ESI
Question: When you bill out codes 99151-+99157, don't you enter this on the professional c... Read more
Reader Question:
File Ketamine Infusion With 99999 and Stellar Documentation
Question: A psychiatric patient with severe depression and pain was taken to our ECT suite... Read more
File Ketamine Infusion With 99999 and Stellar Documentation
Question: A psychiatric patient with severe depression and pain was taken to our ECT suite... Read more
Reader Question:
Code 62263 Covers a Series of Injections
Question: My physician performed an epidural lysis and administered three injections over ... Read more
Code 62263 Covers a Series of Injections
Question: My physician performed an epidural lysis and administered three injections over ... Read more
Reader Question:
Know Your Options for Joint Aspiration and Injection Coding
Question: Encounter notes indicate that the physician performed a knee aspiration and a kn... Read more
Know Your Options for Joint Aspiration and Injection Coding
Question: Encounter notes indicate that the physician performed a knee aspiration and a kn... Read more
You Be the Coder:
Crosswalk Choices for Intubation Code 31500
Question: A 16-week-old had multiple medical conditions including rhizomelic chondrodyspla... Read more
Crosswalk Choices for Intubation Code 31500
Question: A 16-week-old had multiple medical conditions including rhizomelic chondrodyspla... Read more
Procedure Focus:
Follow These 4 Steps to Simplify Your Gastro Claims
Hint: Showing medical necessity can make all the difference. Reporting anesthesia during ... Read more
Follow These 4 Steps to Simplify Your Gastro Claims
Hint: Showing medical necessity can make all the difference. Reporting anesthesia during ... Read more
Pain Management:
Pinpoint Your Best Possibilities for TPI Diagnoses
Two CPT® codes can tie in with multiple ICD-10 choices. Patients with chronic pain issue... Read more
Pinpoint Your Best Possibilities for TPI Diagnoses
Two CPT® codes can tie in with multiple ICD-10 choices. Patients with chronic pain issue... Read more
HIPAA News:
CMS Asks for Ideas to Improve Quality Measures
Here's your chance to share input on EHRs. The Centers for Medicare and Medicaid (CMS) pu... Read more
CMS Asks for Ideas to Improve Quality Measures
Here's your chance to share input on EHRs. The Centers for Medicare and Medicaid (CMS) pu... Read more
Reader Question:
'General' Vs. 'MAC' Answers Whether Post-op Block Is Billable
Question: We are an ASC billing for the facility side of claims. I'd like to know if we ca... Read more
'General' Vs. 'MAC' Answers Whether Post-op Block Is Billable
Question: We are an ASC billing for the facility side of claims. I'd like to know if we ca... Read more
Reader Question:
Pre-anesthesia Work Isn't the Same As Consult
Question: I have recently had some discussion with our office administrator as to why we... Read more
Pre-anesthesia Work Isn't the Same As Consult
Question: I have recently had some discussion with our office administrator as to why we... Read more
Reader Question:
Do Not Report Separately for Failed Epidural
Question: How should we bill a failed epidural when a different provider performed the pro... Read more
Do Not Report Separately for Failed Epidural
Question: How should we bill a failed epidural when a different provider performed the pro... Read more
Reader Question:
Turn to 00562 for Pump Oxygenator During CABG
Question: Our anesthesiologist used a pump oxygenator during a coronary artery bypass graf... Read more
Turn to 00562 for Pump Oxygenator During CABG
Question: Our anesthesiologist used a pump oxygenator during a coronary artery bypass graf... Read more
Reader Question:
Check Out M77 for Metatarsalgia Diagnosis
Question: Our pain management specialist has diagnosed a patient with metatarsalgia. What ... Read more
Check Out M77 for Metatarsalgia Diagnosis
Question: Our pain management specialist has diagnosed a patient with metatarsalgia. What ... Read more
Reader Question:
HPI Protection Stays in Place for 50 Years
Question: How long do I need to maintain a patient's private health information after that... Read more
HPI Protection Stays in Place for 50 Years
Question: How long do I need to maintain a patient's private health information after that... Read more
You Be the Coder:
Stone Location Helps Guide Anesthesia Code Selection
Question: How should I code for anesthesia during a cystourethroscopy with lithotripsy f... Read more
Stone Location Helps Guide Anesthesia Code Selection
Question: How should I code for anesthesia during a cystourethroscopy with lithotripsy f... Read more
Dental Procedures:
Know What the Payer Wants Before Coding Anesthesia for Dental Cases
Hint: Focus on the medical-- not the dental -- payer. Many dental procedures don't requir... Read more
Know What the Payer Wants Before Coding Anesthesia for Dental Cases
Hint: Focus on the medical-- not the dental -- payer. Many dental procedures don't requir... Read more
Practice Management:
Reporting Locum Tenens? Here's What You Need to Know
These 4 expert tips will keep your reimbursement on the right track. No matter what type ... Read more
Reporting Locum Tenens? Here's What You Need to Know
These 4 expert tips will keep your reimbursement on the right track. No matter what type ... Read more
Terminology Check:
What Is a Locum Tenens Provider?
Know that Medicare approves of their use. "Locum tenens" is a Latin phrase meaning "to ho... Read more
What Is a Locum Tenens Provider?
Know that Medicare approves of their use. "Locum tenens" is a Latin phrase meaning "to ho... Read more
Computer Security:
Hack the Hackers' Efforts by Taking These Simple Steps
Important: Make 'malvertising' more difficult on your systems. Healthcare hackers have a ... Read more
Hack the Hackers' Efforts by Taking These Simple Steps
Important: Make 'malvertising' more difficult on your systems. Healthcare hackers have a ... Read more
Reader Question:
Code 01214 Represents Spinal Anesthesia for Hip Arthroplasty
Question: What is the correct code for spinal anesthesia for hip arthroplasty? Wisconsin ... Read more
Code 01214 Represents Spinal Anesthesia for Hip Arthroplasty
Question: What is the correct code for spinal anesthesia for hip arthroplasty? Wisconsin ... Read more
Reader Question:
Rely on 01922 for MAC During Radiotherapy
Question: Our physician provided monitored anesthesia care (MAC) during radiotherapy for a... Read more
Rely on 01922 for MAC During Radiotherapy
Question: Our physician provided monitored anesthesia care (MAC) during radiotherapy for a... Read more
Reader Question:
Turn to 00160 for Nasal Hemorrhage Anesthesia
Question: Our physician noted "EUA [exam under anesthesia] control bleed" in the notes for... Read more
Turn to 00160 for Nasal Hemorrhage Anesthesia
Question: Our physician noted "EUA [exam under anesthesia] control bleed" in the notes for... Read more
Reader Question:
Go With 01961 for C-section, Nothing for Injection
Question: Our anesthesiologist administered spinal anesthesia for a cesarean section and a... Read more
Go With 01961 for C-section, Nothing for Injection
Question: Our anesthesiologist administered spinal anesthesia for a cesarean section and a... Read more
Reader Question:
00520 Works for Pacemaker Lead Removal
Question: Is 00530 the best anesthesia code for removal of an infected pacemaker lead? One... Read more
00520 Works for Pacemaker Lead Removal
Question: Is 00530 the best anesthesia code for removal of an infected pacemaker lead? One... Read more
Reader Question:
Reporting Unsuccessful Line Placement
Question: Can we code for a line placement (such as an arterial line or CVP) that the anes... Read more
Reporting Unsuccessful Line Placement
Question: Can we code for a line placement (such as an arterial line or CVP) that the anes... Read more
Reader Question:
Surgical Method Determines Spine Biopsy Code
Question: What CPT® code should I submit for a biopsy of the sacral spine? Florida Subsc... Read more
Surgical Method Determines Spine Biopsy Code
Question: What CPT® code should I submit for a biopsy of the sacral spine? Florida Subsc... Read more
Reader Question:
Reporting Post-procedure Pain Consult Instead of Service
Question: A surgeon requested that our anesthesiologist evaluate a patient regarding posto... Read more
Reporting Post-procedure Pain Consult Instead of Service
Question: A surgeon requested that our anesthesiologist evaluate a patient regarding posto... Read more
You Be the Coder:
Here's Your Lowdown on Field Avoidance
Question: Can you remind me of the rules of field avoidance? What is required for document... Read more
Here's Your Lowdown on Field Avoidance
Question: Can you remind me of the rules of field avoidance? What is required for document... Read more
CVP Coding:
Remember These 6 Tips to Find Line Placement Coding Success
Digging for details helps you cull through the choices. Line placement is one of the serv... Read more
Remember These 6 Tips to Find Line Placement Coding Success
Digging for details helps you cull through the choices. Line placement is one of the serv... Read more
Procedure Focus:
Follow This Advice for Spot-on CTS Coding
Hint: You can sometimes submit 20526 with a non-CTS diagnosis. Coders always want the mos... Read more
Follow This Advice for Spot-on CTS Coding
Hint: You can sometimes submit 20526 with a non-CTS diagnosis. Coders always want the mos... Read more
HCPCS Check:
Pay Attention to Drug Amounts for Correct CTS Injection Coding
Code 20526 doesn't automatically point to a certain medication. When you code for therape... Read more
Pay Attention to Drug Amounts for Correct CTS Injection Coding
Code 20526 doesn't automatically point to a certain medication. When you code for therape... Read more
Reader Question:
Follow Payer Rules for Colonoscopy That Shifts From Screening to Diagnostic
Question: I'm looking for some insight into how to utilize the new anesthesia codes for GI... Read more
Follow Payer Rules for Colonoscopy That Shifts From Screening to Diagnostic
Question: I'm looking for some insight into how to utilize the new anesthesia codes for GI... Read more
Reader Question:
Submit 00902 for Prostate Massage Under MAC
Question: A patient presented for an exam under anesthesia with prostate massage. The anes... Read more
Submit 00902 for Prostate Massage Under MAC
Question: A patient presented for an exam under anesthesia with prostate massage. The anes... Read more
Reader Question:
Turn to 'Unlisted' for Anesthesia During EEG
Question: I have a patient that an EEG was performed under general anesthesia due to behav... Read more
Turn to 'Unlisted' for Anesthesia During EEG
Question: I have a patient that an EEG was performed under general anesthesia due to behav... Read more
You Be the Coder:
Correct PCEA Coding
Question: Our anesthesiologist placed a thoracic epidural preoperatively with the intentio... Read more
Correct PCEA Coding
Question: Our anesthesiologist placed a thoracic epidural preoperatively with the intentio... Read more
Reimbursement:
Prepare Now for Changes to Conversion Factor, Base Units in 2018
Plus: Don't miss one difference between CMS and RVG values. Updates to the anesthesia con... Read more
Prepare Now for Changes to Conversion Factor, Base Units in 2018
Plus: Don't miss one difference between CMS and RVG values. Updates to the anesthesia con... Read more
Hot Topic:
Verify Appeals Go to the Correct Group
Hint: Second levels don't go to MACs. There's no doubt that CMS paperwork can be confusin... Read more
Verify Appeals Go to the Correct Group
Hint: Second levels don't go to MACs. There's no doubt that CMS paperwork can be confusin... Read more
Compliance:
Ask These Questions to Bolster Your EHR Risk Management
Pay special attention to who has access – and what they can do. It's easy to depend on ... Read more
Ask These Questions to Bolster Your EHR Risk Management
Pay special attention to who has access – and what they can do. It's easy to depend on ... Read more
Reader Question:
Remember Modifier AD When Anesthesiologist Passes 4 Concurrent Cases
Question: I'm still learning the ins and outs of anesthesia coding. What are Medicare's ru... Read more
Remember Modifier AD When Anesthesiologist Passes 4 Concurrent Cases
Question: I'm still learning the ins and outs of anesthesia coding. What are Medicare's ru... Read more
Reader Question:
Think 'Face Time' When Deciding New vs. Established Status
Question: We saw a patient for pain injections earlier in the year and he is now coming in... Read more
Think 'Face Time' When Deciding New vs. Established Status
Question: We saw a patient for pain injections earlier in the year and he is now coming in... Read more
Reader Question:
Prostate Biopsy 55700 Crosses to Anesthesia Code 00902
Question: What is the correct anesthesia code used for a prostate biopsy? I have been usin... Read more
Prostate Biopsy 55700 Crosses to Anesthesia Code 00902
Question: What is the correct anesthesia code used for a prostate biopsy? I have been usin... Read more
Reader Question:
Verify Injection Type Before Reporting Epidural Code
Question: Our physician used X-ray under fluoroscopy to complete what he called an "epidur... Read more
Verify Injection Type Before Reporting Epidural Code
Question: Our physician used X-ray under fluoroscopy to complete what he called an "epidur... Read more
Reader Question:
Codes for Eye Surgery Depend on Type of Service
Question: One of our new anesthesiology clients works in an eye center. He says that he on... Read more
Codes for Eye Surgery Depend on Type of Service
Question: One of our new anesthesiology clients works in an eye center. He says that he on... Read more
You Be the Coder:
Submit Multiple Diagnoses for C-section, Failed VBAC
Question: A patient had a C-section following a failed VBAC due to fetal distress. She had... Read more
Submit Multiple Diagnoses for C-section, Failed VBAC
Question: A patient had a C-section following a failed VBAC due to fetal distress. She had... Read more