tci Outpatient Facility Coding Alert - 2013 Issue 2

Reader Question: Start Claims by Verifying Correct Anesthesia Code

Question: We billed 00140 for eye surgery 15823 and modifiers QS, LT with a total of 3.5 units. Medicare said the modifier is inconsistent or that the claim is missing a modifier. What did we do wrong? Minnesota Subscriber Answer: The surgical code was 15823 (Blepharoplasty, upper eyelid; with excessive skin weighting down lid) and you reported 00140 (Anesthesia for procedures on eye; not otherwise specified) as the associated anesthesia code. When you look at the ASA Crosswalk, it lists the correct anesthesia code for 15823 as 00103 (Anesthesia for reconstructive procedures of eyelid [e.g., blepharoplasty, ptosis...

To read the full article, sign in and subscribe to tci Outpatient Facility Coding Alert.


TCI's Outpatient Facility Coding Alert helps your facility stay profitable by covering issues that are important to you — everything from billing strategies and appropriate payment indicators to coding tips and tricks, analysis of industry trends, and so much more. Subscribe today and let our experts make your job easier.

  • Current newsletters added each month
  • Fully searchable archives - over 650 articles
  • ALL years/issues back to 2012 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Outpatient Facility Coding Alert +Archives

free demo
request yours today
pricing
for any budget
sign IN
welcome back!