Remember the Patient Condition Modifiers that the ASA and AMA endorses are used in conjunction with those Anesthesia CPTs ... the P1 through P6. These especially help with pricing concerns.
If I read Dawn's last sentence correctly, I have to dissagree ... submitting "unlisted codes" is not appropriate under HIPAA. Marsha Verizon Information Technologies, Inc. Managed Care Division Phoenix, AZ Phone - 602.678.6042 Fax - 602.678.6331 E-mail - [EMAIL PROTECTED] Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. ---------- Original Text ---------- From: "Ratayski, Dawn" <[EMAIL PROTECTED]>, on 9/25/01 6:13 AM: To: smtp["'Sweeney, Lisa'" <[EMAIL PROTECTED]>],smtp["'[EMAIL PROTECTED]'" <[EMAIL PROTECTED]>],smtp["'[EMAIL PROTECTED]'" <[EMAIL PROTECTED]>] According to the 2001 CPT4 manual 01916 and 01996 are valid CPT4 codes. Please advise if 01997 and 01998 should be different codes or they duplicates. If the codes listed below are not part of a Medical Code (CDT, HCPCS, ICD9, NDC or CPT4) they can not be used. If there is no valid code that is specific enough to report the service being performed, the provider will have to submit an unlisted code with the appropriate documentation. -----Original Message----- From: Sweeney, Lisa [mailto:[EMAIL PROTECTED]] Sent: Monday, September 24, 2001 4:54 PM To: '[EMAIL PROTECTED]'; '[EMAIL PROTECTED]' Subject: Anethesia Codes As you may be aware, most anesthesiologists, or at least all of those in our market, use the ASA (American Society of Anesthesiologists) Relative Value Guide and ASA Crosswalk reference guides as their source for coding the services they provide to our members and their other patients. There are codes in these books that are not in CPT. Moreover, these codes are commonly used by anesthesiologists throughout the country. A list of these codes is as follows: 00541, 00640, 00798, 01175, 01905, 01916, 01931, 01932, 01933,01941, 01942, 01943, 01944, 01961, 01962, 01980, 01997, 01998, 01996, 01997, and 01998 Questions: 1) Can anesthesiologists continue to use these codes when billing us or will HIPPA put a halt to their use; and 2) since these codes describe very specific anesthesia services, what will CPT/the AMA be doing to address the coding of these service. > Lisa Sweeney > Database Administration Analyst > Coventry Healthcare > Cranberry Business Park > phone: (724) 778-6454 > Toll free: (800) 735- 2202 > > > ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request. ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request. ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request.
