Anesthesia|Pain Management Articles and Resources

News and Important Information

Anesthesia Billing

I. Code Sets

Anesthesia CPT Codes

CPT codes for Anesthesia

II. Find-A-Code's Tools & Resources

ASA Crosswalks

Crosswalk from CPT Anesthesia Codes to Surgery and Procedure Codes.

ASA Crosswalks Tutorial

Tutorial Video for ASA Crosswalk Add-on

Anesthesia Fee Calculation

Fees for anesthesia services are not calculated the same as for other types of procedures...

NCCI Edits Validator

Validate using NCCI edits for errors in code selection.

WK Drug Database

Search by keywords or codes, click on an index letter to see drugs by name, or drill down through the GPI hierarchy.

Click-A-Dex

For quick drill-down and easy code selection.

Build-A-Code

Step-by-step coding from all major code sets.

Pro Fee Calculator

Verify Medicare Reimbursement and UCR Fees for Professional Services

Physical Status Modifiers

Using Physical Status Modifiers with Anesthesia Codes

III. Additional Links and Resources

Anesthesia CPT Guidelines

Official CPT Section Guidelines

ASA Standards and Guidelines

American Society of Anesthesiologists Standards and Guidelines

Chronic Pain Assignment

Pain Management Programs

Injection Therapies

Pain Management Injection Therapies for Low Back Pain

Pain Management Critical Elements

Stage 2 Critical Elements for Pain Recognition and Management

Pain Management Options

HHS.Gov: Pain Management Options

Anesthesiologists Center

CMS Anesthesiologists Center

Noridian: Anesthesia Resources

Noridian JE Part B Anesthesia and Pain Management Resources

Medicare Provider Website

Find the latest Medicare news.

Drugs and Biologicals Pub-100 Ch 17

Drugs and Biologicals Pub-100 Ch 17

Billing Requirements for OPPS

Billing Requirements for OPPS Providers with Multiple Service Locations

Reimbursement Policy

Oxford's reimbursement policy for anesthesia services

Select the title to see a summary and a link to the full article.

Medical ID Theft

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Medical ID Theft "So, do you guys think you can do something with that?" John asked angrily at our first meeting with him in August 2017 as he slammed a stack of medical bills, EOBs and collection letters - three inches high - down in front of my partner and I. ...

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The OIG Work Plan: What Is It and Why Should I Care?

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The Department of Health and Human Services (HHS) founded its Office of Inspector General (OIG) in 1976 and tasked it with the responsibility to combat waste, fraud, and abuse within Medicare, Medicaid, and the other HHS programs. With approximately 1,600 employees, HHS OIG is the largest inspector general's office within ...

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5 Ways to Minimize HIPAA Liabilities

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Last year was historic for HIPAA enforcement. The HHS Office of Civil Rights collected a record $23.5 million in settlements and judgments against providers guilty of HIPAA violations. To avoid becoming part of that unwanted statistic, it’s important to pay extra close attention to five key areas of HIPAA vulnerability. Take ...

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Electrical Stimulation and Electromagnetic Therapy Devices

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Electrical Stimulation and Electromagnetic Therapy Devices can be used for pain, muscle atrophy, help spinal cord injuries, treat symptoms caused by other medical conditions and can be used in the treatment of wounds. This Regence BC/BS article lists codes and devices and gives guidance on coding from Medicare Advantage viewpoint.

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Spinal Cord Stimulator Used for Chronic Pain

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Chronic pain is a condition that can be diagnosed on its own or diagnosed as a part of another condition. When coding chronic pain, there is no time frame defining when pain becomes chronic pain; the provider’s documentation should be used to guide the use of these codes. ICD-10-CM Diagnosis Codes ...

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Wolters Kluwer Drug Pricing

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Wolters Kluwer provides unit and package pricing for multiple drug price types: Average Wholesale Price (AWP), Wholesale Acquisition Cost (WAC), Direct Price (DP), Manufacturer's Suggested Wholesale Price (SWP), Centers for Medicare & Medicaid Services, Federal Upper Limit (CMS FUL), Average Average Wholesale Price (AAWP), Generic Equivalent Average Price (GEAP). Average...

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Anesthesia Documentation Modifiers - Jurisdictions: J8A, J5A, J8B, J5B

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Documentation Modifiers direct prompt and correct payment of the anesthesia claims submitted. Documentation modifiers (AA, QK, AD, QY, QX and QZ) must be billed in the first modifier field. If a QS modifier applies, it must be in the second modifier field. Processing delays and denials may occur for claims submitted ...

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Anesthesia and Fee Calculation

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Fees for anesthesia services are not calculated the same as for other types of procedures. There are four elements to consider when calculating anesthesia fees. Medicare accepts base units and time units; however, depending on the third party payer, they may or may not accept physical status units and/or qualifying circumstances units. Base Unit (of the CPT code) Time (in ...

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Coverage and/or Medical Necessity for the Use of Hyaluronan or Derivitive

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According to Palmetto GBA, Medicare will cover the cost of the injection and the injected hyaluronate polymer for patients who meet the following clinical criteria: Knee pain associated with radiographic evidence of osteophytes in the knee joint, sclerosis in bone adjacent to the knee, or joint space narrowing. Morning stiffness of less than 30 minutes in duration or crepitus on motion of the ...

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Access to this feature is available in the following products:
  • HCC Coder
  • Find-A-Code Professional
  • Find-A-Code Facility Base


Select the webinar title to view a summary and link to the webinar video.

Proper Coding and Billing for Drugs, Biologicals and Injections

Proper Coding and Billing for Drugs, Biologicals and Injections

Watch the video →

How to Check NCCI Edits Using FindACode

How to Check NCCI Edits Using FindACode

Watch the video →

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Pain Management Resources

  • Reimbursement Guide
  • ICD-10-CM Specialty Specific Code Book
  • Provider Documentation Guides
  • ICD-10-CM Comprehensive Code Books
  • and more...


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