Anesthesia Coding Alert
Look to G8644 For 'No License' Exceptions
Question: Should we report G8644 when a provider doesn’t have authority under federal law to write a prescription? Or does it indicate that the eligible provider didn’t have e-prescribing technology to submit an e-rx?
Answer: You should use G8644 (Eligible provider does not have prescribing privileges) for a physician or non-physician provider who would otherwise be required to participate in the ePrescribe program but the provider does not have prescribing privileges (such as no license to prescribe). The one-time reporting of code G8644 was required in 2011 for the provider to be granted an exception.
According to CMS’s 2011 Electronic Prescribing (eRx) Incentive Program Update CMS has this to say about G8633: "there will be a G8644 code which can be used by eligible professionals to indicate that they do not have prescribing privileges." You can read the entire document online at www.cms.gov/ERxIncentive/Downloads/2011eRxIncentiveProgramUpdatefor2012PaymentAdjustment05-09-11.pdf.
Washington Subscriber
Anesthesia Coding Alert
- Quality Measures:
Get the Lowdown on Reporting Perioperative Temperature Management
If you don’t have documentation of criteria, turn to special modifiers. Perioperative temperature management is [...] - ICD-10:
Pneumothorax Codes Will Offer Better Choices in 2014
There’ll be no more need for ‘unspecified’ diagnoses. Several treatments are available for pneumothorax, including [...] - Auditing:
Prepare Now for 5 Audit 'Hot Spots' Your Practice May Face
Understanding several types of audits can help your practice prepare. Auditors from multiple groups may [...] - Clip and Save:
Follow These Tips to a Successful Self-Audit
Good news: Clean claims might be closer than you think. Self-audits are not only necessary [...] - You Be the Coder:
Choosing Whether 99221 or 99231 Is Better Fit
Question: Our anesthesiologist was consulted for a possible emergency intubation. When he arrived and completed [...] - Reader Question:
Watch 2 Factors for Correct 80101 Reporting
Question: Our group recently added a pain management specialist. She performs random drug screenings on [...] - Reader Question:
GI Anesthesia Might Be Allowed in New York
Question: Several of my New York clients have told me that Medicare in New York [...] - Reader Question:
Double Check Details Before Billing Unused Labor Epidural
Question: An obstetrician requested that our anesthesiologist place a labor epidural for a patient with [...] - Reader Question:
Look to G8644 For 'No License' Exceptions
Question: Should we report G8644 when a provider doesn’t have authority under federal law to [...]
