tci Part B Insider - 2007 Issue 33

ANESTHESIA MYTHBUSTER: Good Documentation Can Be Your Lifeline For A-Lines

Your carrier may require modifier 59Myth: You can never bill separately for arterial lines (A-lines) if your doctor is already providing global anesthesia services. Reality: You can bill for A-lines (36620 and 36625) separately when the anesthesia provider places the line, says Kelly Dennis with Perfect Office Solutions in Leesburg, FL.  The American Society of Anesthesiology-s statement on intravascular procedures says that placement of an arterial catheter (36620) should never be included in the global anesthesia fee, notes Karen Glancy, director of coding with Anesthesia Management Partners in Chicago. Also, Medicare's Correct Coding Initiative policy manual on anesthesia...

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