Anesthesia Coding Alert
Verify if 786.01, 300.11 Indicate Vent Study
Question: Our anesthesiologist included several diagnoses on a chart: 786.01, 300.11, and 306.1. What procedure might be indicated?
Answer: Pay attention to your diagnosis coding exclusions, as noted in ICD-9. Diagnoses 786.01 (Hyperventilation) excludes 306.1 (Hyperventilation, psychogenic), so begin by determining the more accurate diagnosis. Diagnosis 300.11 (Conversion disorder) does not indicate a procedure, but might be a diagnosis to support medical necessity.
These diagnoses alone are not sufficient to determine a procedure, although they may point to the possibility of a ventilation study. Discuss the case with your provider to verify the service he provided. If he assisted with a vent study, start with 78999 (Unlisted miscellaneous procedure, diagnostic nuclear medicine). Code 78999 crosses to anesthesia code 01922 (Anesthesia for non-invasive imaging or radiation therapy), which is worth seven base units.
Anesthesia Coding Alert
- Line Placement:
5 Keys Unlock Your Invasive Lines Documentation Challenges
Necessity, time, and signatures top list of watch points.Every detail counts when your anesthesia providers [...] - News You Can Use:
Verify Whether Your Local Rules Allow Non-supervised CRNA Work
States continue to opt out of CRNA supervision regulation.If you code for CRNA services, be [...] - Pain Management:
Diagnosis 847.0? Follow Therapy Progression to Correct Whiplash Coding
Watch for scans, TPIs, and more as treatment options intensify.Coding for whiplash diagnosis and treatment [...] - ICD-10:
2 New H Codes Will Replace 366.16 in 2013
Be sure to report the correct 'unspecified' option.When ICD-9 becomes ICD-10 in October 2013, the [...] - You Be the Coder:
20550, 97140 Hinge on Documentation Amounts
Question: The physician completed a periligamentous block to C6- C7 and C7-T1 with manual mobilization. [...] - Reader Questions:
Crosswalk 65420 or 65426 to 00140 for Pterygium Surgery
Question: How should we code for pterygium surgery performed in a surgery center? What's the [...] - Reader Questions:
Verify if 786.01, 300.11 Indicate Vent Study
Question: Our anesthesiologist included several diagnoses on a chart: 786.01, 300.11, and 306.1. What procedure [...] - Reader Questions:
Get Specific With TMJ Diagnosis for Success
Question: Our provider included two diagnoses in the documentation for a temporomandibular joint injection: TMJ [...] - Reader Questions:
Time Notations Override Graph Intervals
Question: An auditor told us the doctor should put his start and stop times on [...] - Reader Questions:
Check Details to Determine Modifier for Denied Claim
Question: A commercial payer denied our claim, stating we needed to include an additional modifier [...] - Reader Questions:
Submit 00400 for Skin-Sparing Mastectomy
Question: Our physician provided anesthesia during a skin-sparing right mastectomy. What code should we submit? [...] - Reader Questions:
Remember Modifier 53, Case Details for Cancelled Procedure
Question: We had a patient scheduled for a colonoscopy with biopsy who experienced an episode [...]
