Group,

I know this topic has been addressed in the past, but I wanted to ask
again...

When reporting anesthesia services, which codes (anesthesia CPT or surgical
CPT or either) are required?

A paragraph from the Standards for Electronic Transactions final rule (page
50361 of the August 17, 2000 Federal Register) states:

"... there is significant variation in the reporting of anesthesia services,
with some health plans using the anesthesia section of CPT, and other
requiring the anesthesiologist or nurse anesthetist to report the code for
the surgical procedure itself.  When the HIPAA code sets become effective,
health plans following the later convention will have to begin accepting
codes from the anesthesia section [of CPT]."

I read this to mean that both types of codes will be allowed, not just
anesthesia CPT codes.

I have seen other documentation that implies that only anesthesia CPT codes
will be allowed.

Thoughts?

Thanks,
Paul



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