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Significant Anesthesia Coding Changes in 2017 Anesthesia coding is complex. Coders in reliable medical billing companies stay up-to-date with the latest advances, guidelines, and specific recommendations to help providers submit accurate claims and get properly reimbursed for service provided. Anesthesiologists are facing several coding and reimbursement changes in 2017. Four CPT codes were deleted and eight new codes have been added for Epidural Steroid Injections (ESI).
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CPT Code Additions The new code set is based on single injection versus catheter placement for continuous infusion/intermittent bolus and whether imaging guidance was used.
62320
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CPT Code Additions 62321
62322
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CPT Code Additions 62323
62324
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CPT Code Additions 62325
62326
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CPT Code Additions 62327
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Deleted CPT Codes 62310
62311
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Deleted CPT Codes 62318
62319
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Changes in Moderate Conscious Reporting In 2017, any service less than 10 minutes in duration is not reported separately. Medical billing for Moderate (Conscious) Sedation is based on the intra-service time, which starts with the administration of the sedation agent, requires continuous face-to-face attendance, and ends at the conclusion of personal contact, by the physician or Qualified Health Care Professional (QHCP).
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Changes in Moderate Conscious Reporting Moderate (Conscious) Sedation was completely restructured in 2017.
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Changes in Moderate Conscious Reporting
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CPT Guideline Updates Addition of a new parenthetical comment for code 01992 indicates that one should not bill moderate sedation with 01991 or 01992 (anesthesia for chronic pain injections). Moderate sedation codes and anesthesia codes are mutually exclusive; bill one or the other, not both. A new comment states that when moderate sedation is performed by a physician other than the physician performing the procedure, the physician performing moderate sedation can only bill 99155-57if the procedure is performed in the facility. Moderate sedation is not Monitored Anesthesia Care (MAC) or deep sedation. Medical billing companies that stay current with the coding and billing changes that impact the provider’s reimbursement can help ensure accurate anesthesiology billing. www.outsourcestrategies.com
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