Anesthesia Coding Alert
Reporting ASC as the Place of Service
Question: Our physicians provide anesthesia for surgeries being performed in an office with three operating rooms. Although this is still a physician office, one coder says that we could report "ambulatory surgical center" as the place of service (because of the three ORs) instead of "office." Is this right? Answer: The descriptor for Place of Service 24 (Ambulatory surgical center) is: a freestanding facility, other than a physician's office, where surgical and diagnostic services are provided on an ambulatory basis. There is more to being an ambulatory surgery center than the number of ORs you have. If it is an office, that's the location you bill (as Place of Service 11, Office) unless the facility is accredited and licensed as an ASC.
Oregon Subscriber
Anesthesia Coding Alert
- Discussion Group Spotlight:
How Long Can You Bill Physician Time After Labor Epidural?
Hint: Documentation and carrier guidelines dictate coding
A coder recently posted the following question regarding labor [...] - NCCI 10.3 Update:
Rethink Coding for Both Guidance and Diskography
Edits pair 62290, 62291 with fluoro guidance and ultrasound codes Anesthesia and pain management coders [...] - Calculations Checkpoint:
4 Common Methods Can Determine Professional Charges for OB Anesthesia
Tip: Be sure your charges reflect intensity and time Sometimes it seems that there are [...] - Heads-Up:
Bone Up on These Expected CPT 2005 Changes
Here's a sneak preview at what's coming down the pike
Expected CPT updates of interest to [...] - Reader Question:
Reporting ASC as the Place of Service
Question: Our physicians provide anesthesia for surgeries being performed in an office with three operating [...] - Reader Question:
Determine Surgical or Anesthesia Preference
Question: Our clearinghouse directs us to report surgical codes for our CRNAs, but the carriers [...] - Reader Question:
Choose Diagnosis for Difficult IV Access
Question: What is the appropriate diagnosis code for "difficult IV access"?
Delaware Subscriber
Answer: Some coders report [...] - Reader Question:
Confirm Diagnosis for Excision Under MAC
Question: Medicare denies our claim for anesthesia during excision of a mass in a patient's [...] - Reader Question:
Check Modifiers With CRNA Case
Question: A CRNA administered a regional Bier block during excision of a lesion on the [...] - Reader Question:
Use 652.3x for Transverse Lie Diagnosis
Question: What is the correct diagnosis code for transverse lie? Medicaid denies 761.7 because it [...] - Reader Question:
Apply 722.8x Series for Failed Back Syndrome Diagnosis
Question: What diagnosis applies to "failed back syndrome"?
Michigan Subscriber
Answer: Check with the physician, but your [...] - You Be the Coder:
Verify MD's Role Before Coding for CS
Question: Our physician used conscious sedation during a child's bone marrow aspiration. Can he only [...]
