【高血压英文PPT精品课件】 Anesthesia_
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block anesthesia with sedation – Other supportive services in order to afford the patient anesthesia
care deemed optimal by the anesthesiologist during any procedure
hypertensive heart and renal disease with congestive heart and renal failure) • P4—Patient with severe systemic disease that is a constant threat to life (eg, hypertrophic obstetric cardiomyopathy with ESRD) awaiting heart transplant • P5– Moribund patient who is not expected to survive without surgery • P6—A declared brain dead patient whose organs are being removed for donor purposes
Physical Status Modifiers
• P1—Normal, healthy patient • P2—Patient with mild systemic disease (eg, mild, benign,
hypertensive heart disease) well controlled on medication • P3—Patient with severe systemic disewk.baidu.comse (eg, benign,
– Medicare requires time reported in actual minutes, not units
• Anesthesia provided during multiple surgical procedures
– Reported by listing the anesthesia cod with highest base unit value and reporting total time of all procedures
• Codes describe
– General anatomic area or service – Usually relates to a number of surgical procedures
• Only one anesthesia code reported unless code is an add-on code
【高血压英文PPT精品课件】 Anesthesia
Anesthesia Guidelines
• Time continued
– May be reported in units based on defined time increments
• Most common is 15 minutes (1 unit for each 15 minutes)
• Separate payment allowed for selected services in conjunction with anesthesia or unrelated procedure
– Insertion of Swan-Ganz catheter (93503) – Central venous pressure line (36555-36597) – Arterial line (36620-36625)
Anesthesia Modifiers
• Three sets of modifiers to consider
– Physical status – HCPCS – CPT
• CPT manual also includes codes for
– Reporting circumstances that could increase the difficulty of providing anesthesia
CPT Modifiers
• 22—Unusual Procedural Services • 23—Unusual Anesthesia (Identifies a procedure that usually
requires no anesthesia or local anesthesia. Under unusual circumstances, general anesthesia is required) • 32—Mandated Services • 51—Multiple Services • 53—Discontinued Procedure • 59—Distinct Procedural Service (Identifies certain circumstances when a physician may need to indicate that a procedure/service was distinct or independent from other services performed on the same day)
Medicare Guidelines
• Anesthesia services
– Provided by or under supervision of a physician
• Services may include, but not limited to
– General or regional anesthesia – Monitoring of physiological parameters during local or peripheral
care deemed optimal by the anesthesiologist during any procedure
hypertensive heart and renal disease with congestive heart and renal failure) • P4—Patient with severe systemic disease that is a constant threat to life (eg, hypertrophic obstetric cardiomyopathy with ESRD) awaiting heart transplant • P5– Moribund patient who is not expected to survive without surgery • P6—A declared brain dead patient whose organs are being removed for donor purposes
Physical Status Modifiers
• P1—Normal, healthy patient • P2—Patient with mild systemic disease (eg, mild, benign,
hypertensive heart disease) well controlled on medication • P3—Patient with severe systemic disewk.baidu.comse (eg, benign,
– Medicare requires time reported in actual minutes, not units
• Anesthesia provided during multiple surgical procedures
– Reported by listing the anesthesia cod with highest base unit value and reporting total time of all procedures
• Codes describe
– General anatomic area or service – Usually relates to a number of surgical procedures
• Only one anesthesia code reported unless code is an add-on code
【高血压英文PPT精品课件】 Anesthesia
Anesthesia Guidelines
• Time continued
– May be reported in units based on defined time increments
• Most common is 15 minutes (1 unit for each 15 minutes)
• Separate payment allowed for selected services in conjunction with anesthesia or unrelated procedure
– Insertion of Swan-Ganz catheter (93503) – Central venous pressure line (36555-36597) – Arterial line (36620-36625)
Anesthesia Modifiers
• Three sets of modifiers to consider
– Physical status – HCPCS – CPT
• CPT manual also includes codes for
– Reporting circumstances that could increase the difficulty of providing anesthesia
CPT Modifiers
• 22—Unusual Procedural Services • 23—Unusual Anesthesia (Identifies a procedure that usually
requires no anesthesia or local anesthesia. Under unusual circumstances, general anesthesia is required) • 32—Mandated Services • 51—Multiple Services • 53—Discontinued Procedure • 59—Distinct Procedural Service (Identifies certain circumstances when a physician may need to indicate that a procedure/service was distinct or independent from other services performed on the same day)
Medicare Guidelines
• Anesthesia services
– Provided by or under supervision of a physician
• Services may include, but not limited to
– General or regional anesthesia – Monitoring of physiological parameters during local or peripheral