CPT^® 00811, Under Anesthesia for Procedures on the Lower Abdomen

The Current Procedural Terminology (CPT^®) code 00811 as maintained by American Medical Association, is a medical procedural code under the range - Anesthesia for Procedures on the Lower Abdomen.

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Summary

The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to but not into the duodenum, the part of the intestines just below the stomach.

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Florida Medicare 00811/00813

I work for an anesthesia group. I have a question on billing for screening colonoscopy turned diagnostic. We bill Cpt 00811-PT, dual we bill 00813 (no PT). My question is the DX order. We used to get... [ Read More ]

Anesthesia for screening colonoscopy

[QUOTE="janellefinnie@sbcglobal.net, post: 512819, member: 382635"] Per the 2022 Crosswalk: "Anesthesia for screening colonoscopy is reported with code 00812. When screening colonoscopy becomes diagn... [ Read More ]

Anesthesia for screening colonoscopy

Per the 2022 Crosswalk: "Anesthesia for screening colonoscopy is reported with code 00812. When screening colonoscopy becomes diagnositic procedure, per CMS report 00811 with the PT modifier."... [ Read More ]

Anesthesia for screening colonoscopy

[QUOTE="Bernadette10, post: 512555, member: 239306"] Sharing some advice I got from an auditor that has been very helpful: [B]Medicare and Medicare Replacement:[/B] Anesthesia for a screening colono... [ Read More ]

Anesthesia for screening colonoscopy

Sharing some advice I got from an auditor that has been very helpful: [B]Medicare and Medicare Replacement:[/B] Anesthesia for a screening colonoscopy is coded 00812 and the primary diagnosis is Z12... [ Read More ]

Anesthesia--Colonoscopies

Generally, screening colonoscopies that result in a procedure are coded as follows. For commercial: 00812-PT (check with insurance anesthesia coding policies to be sure, as some may have specific req... [ Read More ]

Anesthesia--Colonoscopies

We have been having a discussion as to the correct way to bill screening colonoscopies that become diagnostic colonoscopies for Commercial insurance and Medicare Advantage. We agree with Medicare cha... [ Read More ]

PT Modifier Question

[QUOTE="andavis234, post: 502795, member: 391560"] we have a denial for 45385 and the insurance company (NOT Medicare) is requesting PT modifier to be added- is there a different modifier other than P... [ Read More ]

Medicare Rejection of 00731 CPT

[QUOTE="magalifano, post: 505367, member: 529169"] This is just billing for anesthesia for procedure of endoscopy . k21.9, k22.70,k29.70. CPT 00731. CRNA performs the anesthesia. Modifier QZ and with... [ Read More ]

Medicare Rejection of 00731 CPT

This is just billing for anesthesia for procedure of endoscopy . k21.9, k22.70,k29.70. CPT 00731. CRNA performs the anesthesia. Modifier QZ and with P1, P2 or P3. I only do the separate anesthesia cl... [ Read More ]

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