tci Medicare Compliance & Reimbursement - 2013 Issue 21

Coding Spotlight: 4 Tips Help You To Know When To Report +99140 Emergency

Payer interpretation is key to whether or not you get reimbursed. When you submit +99140 (Anesthesia complicated by emergency conditions [specify] [List separately in addition to code for primary anesthesia procedure]), be sure that the qualifying circumstances you are reporting line up with payer requirements. Here are four tips to find out when you can — and when you can’t report +99140. Tip 1: Learn the CPT® Definition of Emergency The tricky part of reporting +99140 is verifying that you’re truly coding for an emergency situation or condition. According to CPT® notes, “an emergency is defined...

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