Appendix F - Medicare Carriers Manual / 140.4.2_-_CRNA_and_an_Anesthesiologist_in_a_Single_Anesthesia_Procedure

Why This Topic Matters

This guidance affects how anesthesia services are reported and paid under Medicare when more than one anesthesia professional is involved in a case. It matters for accurate claim submission, payment integrity, and compliance with Medicare carrier policy.

Article Sections

1. Policy for a single anesthesia procedure with physician medical direction and CRNA involvement

   Describes Medicare carrier guidance for anesthesia cases involving both an anesthesiologist and a medically directed CRNA. The section addresses the general payment framework and the time period when the policy applies.

2. Billing approach for medically directed anesthesia services

   Explains the reporting framework for the physician and CRNA in a single medically directed anesthesia case. It also notes the related effective date context for the guidance.

3. Unusual circumstances with full involvement by both providers

   Covers situations in which both anesthesia professionals are fully involved during the procedure. The section notes documentation expectations tied to the payment policy.