crna

  1. A

    Wiki CRNA Venipuncture w/ General Anes

    Our CRNA was called in to do a venipuncture on a child that has bad veins. They tried versed, but the child still could not be controlled. They ended up doing the venipuncture under general anesthesia. Can we charge for that anesthesia or is it going to be part of the VP? Thank you!
  2. D

    Wiki HELP!! Billing TEE procedure for CRNA 93313 vs 93318

    Hello I need opinions on billing TEE procedure 93313 vs 93318, I have a CRNA who wants to bill 93318 and another CRNA stating he's just placing the probe. My instinct is to go with 93313 but in what case would I use 93318?
  3. M

    Wiki CRNA relief of MDA

    Does anyone have documentation regarding rules for relief specific to how a case should be coded if the MDA starts and finished alone but during the procedure a CRNA provides relief? Thanks in advance.
  4. N

    Wiki CRNA and E&M

    We are getting denials from PA's Medicare for CRNAs when billing 99201 for cancelled procedures. Denial when performed/billed by this type of provider. One claim rep said the service is covered under a CRNA but another rep said this was an error. Is anyone getting payment from MC for these? I...
  5. E

    Wiki Billing for CRNA performing Aline or CVP

    Our CRNA's are employed the hospital and while working under Medical Direction of our attending Anesthesiologist, they may need to perform supplemental procedures such as Aline insertion or CVP's, which I understand fall under the medical direction guidelines as part of the entire anesthesia...
  6. 5

    Wiki Anesthesia by CRNA

    Hello, We have CRNAs that provide the anesthesia for our pain Doctors at the surgery center. They all work under the same TIN - same medical company, but different NPI numbers. We do have all the correct numbers in the correct box on the claim. We are having issues with insurance companies...
  7. E

    Wiki NC Medicare

    We have a CRNA group who performs anesthesia services (non medically directed) for Vascular and Renal patients in a North Carolina facility. The facility is a "Physician Office". (POS 11). Medicare (Palmetta GBA) is denying claims based on "procedure code / bill type inconsistent with POS"...
  8. D

    Wiki Facility ESI Billing-I need to bill

    How do I need to bill hospital charges for an independent CRNA?
  9. D

    Wiki Facility ESI Billing for CRNA

    How does a hospital facility bill for an ESI done by a CRNA? Does the facility bill under the referring provider or the CRNA, this is an independent CRNA we just bill facility codes, however the referring provider is getting the precert for the facility and using the surgeon as the rendering...
  10. A

    Wiki Billing Medical Supervision for CRNAs - NOT Medical Direction

    We're having quite the discussion in our office over proper use of anesthesia modifiers for billing CRNAs practicing without medical direction but with medical supervision. We are in a state that did not opt out of the medical supervision requirement for CRNAs. There are two lines of thought...
  11. 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...
  12. J

    Wiki Billing CPT 36410

    Happy New Year! Can anyone help me with cpt code 36410? Can this code be billed by a CRNA if the nurse requests that it be performed by a CRNA due to the patient being a hard stick? Thanks for any help that you may be able to provide. Jennifer
  13. Michele Hannon

    Wiki locum CRNA billing

    I work in an all CRNA group (no docs). Are locum CRNA's allowed to bill under the vacationing CRNA's information? Thanks.
  14. 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...
  15. 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...
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