Anesthesia Coding Alert
How to Bill for N95 Masks
Question: One safety measure our pain management office has implemented during the COVID-19 pandemic is providing N95 masks to patients during their visits. What CPT® or HCPCS Level II code can we bill for these masks along with the follow-up visits? Answer: The current HCPCS Level II code book does not include a specific code for N95 masks. The manual does include code A4928 (Surgical mask, per 20), but that only applies to masks that you purchase in bulk for use by your own staff during procedures — not masks that you will be billing to patients. One potential option is T5999 (Supply, not otherwise specified). Insurers always want thorough explanations of why you might report an unlisted or “not otherwise specified” code, so be sure to include that with the claim. You might also benefit from talking with insurers beforehand to ask for their guidance.
Anesthesia Coding Alert
- Coding Basics:
Brush Up on Your Critical Care Reporting Considering COVID-19
Let these four guidelines keep you on track. As healthcare systems continue to grapple with [...] - Coronavirus:
Double Check CMS Guidance Before Submitting COVID-19 Claims
Ever-changing policies make updates more important. As the coronavirus pandemic continues to affect the nation, [...] - News You Can Use:
Keep Up to Date with the OIG's Daily FAQs
Every practice has questions about financial arrangements — and enforcement regulations — during the time [...] - You Be the Coder:
How to Bill for N95 Masks
Question: One safety measure our pain management office has implemented during the COVID-19 pandemic is [...] - Reader Questions:
Bill Separate Codes for Anesthesia During Block
Question: One of our pain management specialists administered a facet block under MAC (monitored anesthesia care) [...] - Reader Questions:
Choosing the Correct Code for Pump Refills
Question: I’m having trouble determining the best way to code for programmable pump refills. An old [...] - Reader Questions:
Home in on Correct Humeral Shaft Hardware Removal Code
Question: What anesthesia code should we report for removal of hardware from the humeral shaft? The [...] - Reader Questions:
Don't Report 01961 if Mom Attempts Vaginal Delivery
Question: Currently, when we code for anesthesia, we are only able to report one CPT® code/ASA code [...]
