ED Coding & Reimbursement Alert - 2022 Issue 2
Reader Questions: Focus on Intended Procedure Rather Than Payer for Cancellation
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Article Overview
This premium article is a brief coding Q&A for anesthesia and perioperative billing professionals. It discusses how to think about a canceled surgical case that stopped before anesthesia drugs were given, with emphasis on whether billing is based on the intended service, the completed assessment, or the patient's payment status.
Why This Topic Matters
Canceled procedures can create confusion about whether any billable service occurred and whether self-pay status changes the coding approach. The article helps readers understand the general documentation and billing considerations involved in these situations.
What You Will Learn
- How a canceled pre-induction case is viewed from a coding and billing perspective
- How self-pay status affects the discussion of billing for a pre-op assessment
- Why perioperative documentation matters when a procedure does not proceed as planned
- How to distinguish assessment-based reporting from time-based reporting in this scenario
Who Should Read This
- Anesthesiologists
- Anesthesia coders
- Medical billing staff
- Perioperative practice managers
- Revenue cycle professionals
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