anesthesia

  1. R

    Wiki Lung Transplants (32851-54) and ASA 00580

    Any one else seeing denials from CMS for Anesthesia done for Lung Transplants starting about 10/1/15? Initally was told by Medicare contractor that ASA does not match, as service is Lung Transplant-- but this is the only ASA that the CPTs cross to. The NCD 260.9 does not give a list of...
    • rebasheba
    • Thread
    • 00580 anesthesia asa lung transplants
    • Replies: 0
    • Forum: Anesthesia
  2. J

    Wiki Anyone billing anesthesia for CRNAs in Massachusetts?

    I am posting this for a coworker, as I have limited knowledge of anesthesia billing. We have a new client who uses CRNAs for anesthesia. I am hoping someone has some insight on these issues: **For medically directed CRNA, Tufts Health Plan requires the anesthesiologist and the CRNA to bill on...
    • jhaines
    • Thread
    • anesthesia anesthesia crna credentialled crna hcfa
    • Replies: 1
    • Forum: Anesthesia
  3. A

    Wiki To All Anesthesia Coders out there Please Help!!!

    I just started coding anesthesia visits for colonoscopy's and EGD's. I have a few questions some things just don't make sense to me. Lets say the patient is coming in for a Hx of polyps, found a polyp and hemorrhoids. My question is do you use K63.5 for the polyps found or do you actually go...
  4. J

    Wiki URGENT - Anesthesia Coders and Quality Reviewers Needed

    Anesthesia and Pain Management Coders Needed (REMOTE) Aviacode is looking for coders and quality review experts experienced in anesthesia and/or pain management with at least 2 years experience (required) and that can commit a minimum of 20 hours a week. If you are interested please see job...
    • jschmutz
    • Thread
    • anesthesia coders management pain quality
    • Replies: 0
    • Forum: Anesthesia
  5. J

    Wiki Coding ultrasound guidance when used for mode of anesthesia block?

    Hi there, I have a provider that is questioning if he can bill for the USG when he uses it to place an axillary block (or other blocks) that is being used as the mode of anesthesia and NOT post op pain management. Any help or reference on the subject would be greatly appreciated. Thank you.
    • jls4567
    • Thread
    • anesthesia block management mode pain
    • Replies: 3
    • Forum: Anesthesia
  6. A

    Wiki coding dispute between CPT book and Anesthesia code

    I work for a group of Anesthesiologists and I had a case where a patient had implanted plates removed from her ribs. I coded 20680 and the code crosswalks to 01360 for anesthesia. On the EOB that the patient received the procedure description said she had work done on her femur. She called the...
    • AudreyS
    • Thread
    • anesthesia code cpt femur procedure
    • Replies: 2
    • Forum: Anesthesia
  7. A

    Wiki anesthesia coding

    I work for a group of Anesthesiologists and I had a case where a patient had implanted plates removed from her ribs. I coded 20680 and the code crosswalks to 01360 for anesthesia. On the EOB that the patient received the procedure description said she had work done on her femur. She called the...
  8. A

    Wiki CPT Coding for Anesthesia

    I work for a group of Anesthesiologists and I had a case where a patient had implanted plates removed from her ribs. I coded 20680 and the code crosswalks to 01360 for anesthesia. On the EOB that the patient received the procedure description said she had work done on her femur. She called the...
  9. J

    Wiki Anesthesia/Pain Management Coder Wanted (REMOTE): Contract to FTE

    Aviacode is looking for FIVE coders experienced in anesthesia and pain management with at least 2 years experience (required) and that can commit a minimum of 20 hours a week. This is a REMOTE CONTRACT position with possibility of going to full-time employed position. Link to Job Posting...
    • jschmutz
    • Thread
    • anesthesia coders contractor full-time remote
    • Replies: 0
    • Forum: Anesthesia
  10. S

    Wiki Cpt 11750 and 64450

    Hello, can you please help on these codes, my physician is removing a partial nail using sharp clippers after separating from the nail, he is also using Marcaine for block anesthesia, I would code this as 11730 and the anesthesia would be included, any suggestions. thanks
    • susie09
    • Thread
    • anesthesia block marcaine nail suggestions
    • Replies: 1
    • Forum: Dermatology
  11. K

    Wiki Open evaluation under anesthesia

    I am searching for a code for an open evaluation under anesthesia. The Dr. initially intended to remove a soft tissue mass but after incision was made he diagnosed the patient with a dilated venous plexus, closed the incision and refferred the patient onto a vascular surgeon. Does anyone know if...
    • KARAHUGHES
    • Thread
    • anesthesia code evaluation incision patient
    • Replies: 2
    • Forum: Podiatry
  12. A

    Wiki Anesthesia Modifier Order?

    Is there a specific order that the multiple modifiers have to appear on a anesthesia code. I had listed 00920-Qx-QS-P1 on my practice test but it came back saying it was wrong and that it had to be 00920-QS-QX-P1. Can someone point me in the right direction?
  13. C

    Wiki Anesthesia Split Between Two Providers

    If one anesthesiologist (MD) is coding 01214 for 60 min then relieved by another anesthesiologist (MD) and they document 30 minutes, how is that coded? Do you take into consideration that base units of 01214 for each doctor and then add the extra units for time? Thank you for your help
  14. A

    Wiki CPCD Code-A-Round Help

    Hi again, I'm still working on the code-a-round codes and am a little stuck. Because I found the procedure codes and the diagnosis codes. Would you code for anesthesia that was local with an IV sedation? If so, then how? Do you use a modifier for it? Also would you code for the use of 4-0...
    • aferris86
    • Thread
    • anesthesia cpcd code-a-round local iv sedation monocryl nylon scapel
    • Replies: 1
    • Forum: Dermatology
  15. K

    Wiki CRNA's and billing qualifying circumstance codes

    Hopefully an easy question for someone. I have been looking for anything in writing stating qualifying circumstance codes can or should be billed with charges for a CRNA. Currently our facility is billing these codes with the anesthesiologist but leaving them off of the CRNA. I have not been...
    • katynulph
    • Thread
    • anesthesia crna qualifying circumstance
    • Replies: 1
    • Forum: Anesthesia
  16. P

    Wiki Anesth code question? RE: 00865 vs 00840

    There is a new procedure dr's in our groups are doing called Robotic prostatectomys. Right now there is no code for the Robotic prostatectomy since it is such a new procedure. We code 00865 for a radical retropubic prostatecomy but this doesn't seem to go along with the robotic prostatectomy...
  17. W

    Wiki Experienced CPC seeking remote coding jobs

    Wanda Speh, CPC Advanced Medical BCS, Inc. Brunswick, Georgia 31523 CPC with 15 years of experience is seeking remote medical billing and coding positions part or full time. I am available immediately for ICD-9 and CPT coding/billing for Anesthesia, DME, Pediatrics, Radiology, Pathology and...
  18. M

    Wiki coding moderate sedation

    does moderate sedation mean no anesthesiologist is involved? I just had two different endoscopic examinations which in CPT state conscious sedation is included but there was an anesthesiologist involved and i sure wasn't conscious. Please explain. thanks
  19. D

    Wiki ASC additional recovery "step down"

    Does anyone charge/code for additional time spent in ASC for recovery observation of the patient if it is needed longer than the standard recovery for each procedure? Example: if the patient needs additional time for anesthesia recovery with minimul nursing assistance, how do you handle?
  20. K

    Wiki CRNA in ASC Billing

    I am billing for a CRNA who is providing propofol sedation for endoscopy patients in an ASC and I need coding help for Medicare. I billed first with the 00740 or 00810 and the QZ and the P (physical status modifier). Medicare denied for "wrong or missing modifier." I billed again with the...
  21. M

    Wiki Discontinued Procedures

    Quick question - If a procedure is discontinued/cancelled due to contraindication do you use a modifier when billing the anesthesia for this procedure? Thanks Missy Heuer CPC
    • missyah20
    • Thread
    • anesthesia billing cpc-medical-coder modifier procedure
    • Replies: 4
    • Forum: Anesthesia
  22. R

    Wiki Cast removal under anesthesia

    Has anyone coded out a cast removal under anesthesia? What code have you used in the past? One would be for an 101 year old femur cast removal and the other and infant tibula/fibula cast removal. Thank you for your input. Kelly
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