ASA Crosswalks & Fees
Billing Anesthesia Services:
Anesthesia services are billed using CPT® codes 00100-01999. These CPT® codes are cross walked to surgical codes. The crosswalks are available from the ASA American Society of Anesthesiologists through Find-A-Code.
Using Find-A-Code you can crosswalk from CPT Anesthesia codes to Surgery and Procedure Codes and vice versa (see example below). You can also see CMS Base units and ASA Base Units.
Example on Anesthesia Code 00515
Select the title to see a summary and a link to the full article.
July 14th, 2021
How to Properly Assign ICD-10-CM Codes for Pain
Published July 14th, 2021|
Pain is a common diagnosis among all specialties so it should not be surprising to find there are 162 ICD-10-CM codes for reporting it and over 80 mentions in the ICD-10-CM Official Guidelines for Coding and Reporting which describe when certain types of pain should be reported and how the codes should be sequenced.
June 23rd, 2021
UCR Anesthesia Fee Calculations and Base Units - Now Available!
Published June 23rd, 2021|
As per customer request, Find-A-Code now offers UCR Anesthesia Fee Calculations along with CMS and ASA. The anesthesia fee calculations can be found under the Fees section of the code and under the Anesthesia Fee Information. Time units are computed by dividing the reported anesthesia time by 15 minutes (17 minutes / 15 minutes = 1.13 units). NOTE: Always ...
May 3rd, 2021
New Communication Technology-Based Services (CTBS) Codes for Nonphysicians
Published May 3rd, 2021|
Medicare continues to expand the number of services provided via technology. There are some interesting new codes for nonphysician practitioners (NPPs) (e.g., psychologists, physical therapists) that became effective on January 1, 2021. Communication Technology-Based Services (CTBS), also known as virtual check-ins, describe specific short provider-patient communications which are initiated by the patient.
February 3rd, 2021
How To Properly Report Prolonged Services Using 99417 or G2212
Published February 3rd, 2021|
Prolonged Evaluation & Management codes underwent big changes in 2021, including the creation of a new prolonged code (99417), reportable only with codes 99205 or 99215. While Medicare has agreed to accept the AMA's CPT E/M coding changes, they have formulated an opinion contrary to how CPT calculates time specific ...
October 1st, 2020
New Codes for Cytokine Release Syndrome (CRS)
Published October 1st, 2020 - Last Review/Update October 6th, 2020|
New codes for Cytokine Release Syndrome (CRS) are effective October 1, 2020 based on the grade/severity of the symptoms. This article covers the new grading scales.
August 10th, 2020
Modifier 50 — Four "Must Know" Tips For Getting Paid
Published August 10th, 2020|
Modifiers added to an HCPCS or CPT© code alters the code description, providing clarity about the service for proper claim processing and reimbursement. Here are four things you must know about modifier 50 to ensure proper payment. - Modifiers are either informational or payment related. Informational modifiers provide additional...
July 14th, 2020
Are NCCI Edits and Modifiers Just for Medicare?
Published July 14th, 2020|
The National Correct Coding Initiative (NCCI) edits were developed by CMS to help promote proper coding and control improper coding that leads to incorrect payments with part B claims. It is important to understand that NCCI edits do not include every possible code combination or every type of un-bundling combination. With that ...
April 1st, 2020
External Cause Status Coding (Y99)
Published April 1st, 2020 - Last Review/Update April 27th, 2021|
This innoviHealth book (i.e., ICD-10-CM Coding, Reimbursement Guide) resource discusses requirements for properly coding external causes. Mandatory reporting of these codes is not always required by all payers and even when they are required, it might only be in certain situations (e.g., drug overdose, personal injury).
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2020 Pain Management ICD-10-CM Coding Book2020 Pain Management Reimbursement GuideAdvanced Beneficiary Notice of Noncoverage (ABN) Form Instructions ToolAmerican Society of Regional Anesthesia and Pain MedicineAnesthesia: All Standards, Guidelines & Practice ParametersBilateral Surgeries: Claim SubmissionClinical Practice Guideline for the Management of Substance Use DisordersCommonly Used Medicare Modifiers - GA, GX, GY, GZEye CodingFederal Opioid Treatment StandardsMedicare Part B Clinical Laboratory Fee ScheduleNoridian Anesthesia and Pain Management PoliciesNoridian Anesthesia and Pain Management ResourcesNoridian: Allowed Amount ReductionsOpioid Treatment ProgramsPhysician Assistant (PA) Resources NoridianPreoperative Evaluation and Preparation for Anesthesia and SurgerySummary of the HIPAA Privacy Rule by HHS
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