CPT^® 00812, Under Anesthesia for Procedures on the Lower Abdomen

The Current Procedural Terminology (CPT^®) code 00812 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 a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part of the intestines just below the stomach.

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Forum

Have a question about CPT Code 00812 ? Start a discussion here

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 ]

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 ]

PT Modifier Question

[QUOTE="MonicaDay, post: 494186, member: 255581"] Agreed, the PT Modifier is only used for a screening to diagnostic colonoscopy for MCR - no other insurances use this modifier. [/QUOTE] we have a de... [ Read More ]

PT Modifier Question

For Medicare only, the ASA code will change from 00812 to 00811, but the modifier PT is appended for all payors when a screening becomes diagnostic resulting in a procedure.... [ Read More ]

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