No and thus there are three DSMO requests outstanding to add the surgical
code to anesthesia billings so when the anesthesia claim arrives a payor can
adjudicate the claim without the surgical claim. The need for these
requests was driven by the requirement to bill anesthesia using the CPT
anesthesia codes.
p
Pamela A. Cotham
EDS-CAXIX Senior Systems Consultant
The person who said it could not be done should not interrupt the person
doing it. Have an awesome day!
mailto:[EMAIL PROTECTED]
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]
Sent: Tuesday, September 04, 2001 12:59 PM
To: [EMAIL PROTECTED]
Subject: RE: Overlapping Medical Data Code Sets
Many health plans have used a combination of CPT Surgery codes along with a
modifier to designate Anesthesia services. My question is this: If the
surgery code and the modifier are both standard, i.e. contained in the
current version of CPT/HCPCS, is it still acceptable to use this claims
payment method?
"Cotham, Pam"
<pam.cotham@e To: "'[EMAIL PROTECTED]'"
<[EMAIL PROTECTED]>
ds.com> cc:
Subject: RE: Overlapping
Medical Data Code Sets
09/04/2001
02:24 PM
Please
respond to
transactions
The anesthesia can be found in HCPCS Level I (aka CPT). There are a couple
of Level II HCPCS in the G series for local anesthesia.
p
Pamela A. Cotham
EDS-CAXIX Senior Systems Consultant
The person who said it could not be done should not interrupt the person
doing it. Have an awesome day!
mailto:[EMAIL PROTECTED]
-----Original Message-----
From: Weber, Karen (DHS-PSD) [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, August 29, 2001 7:26 AM
To: '[EMAIL PROTECTED]'
Subject: RE: Overlapping Medical Data Code Sets
Sorry to be such a dummy, but where are the anesthesia codes in HCPCS?
-----Original Message-----
From: Winston, Mike K. [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, August 29, 2001 3:56 AM
To: '[EMAIL PROTECTED]'
Subject: RE: Overlapping Medical Data Code Sets
You need to accept both types, but how you choose to process with them is
up
to you.
Mike Winston
Trigon ISD
Ext 44521
[EMAIL PROTECTED]
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> -----Original Message-----
> From: Paul Costello [SMTP:[EMAIL PROTECTED]]
> Sent: Tuesday, August 28, 2001 5:04 PM
> To: [EMAIL PROTECTED]
> Subject: Overlapping Medical Data Code Sets
>
> Group,
>
> I have a question regarding overlapping medical data code sets and health
> plans requiring providers to use a specific code set for a specific type
> of service.
>
> For example, anesthesia can be billed using HCPCS and CPT-4 codes. Can a
> health plan require a provider to use only HCPCS or only CPT-4 when
> billing for anesthesia services? Or must plans accept both?
>
> This question would stand for any other services that could be billed
> using multiple medical data code sets.
>
> Any insight is appreciated.
>
> Thanks,
> Paul
>
>
>
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