Author Topic: Regarding billing for anesthesia services:  (Read 1450 times)

Alice Scott

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Regarding billing for anesthesia services:
« on: March 02, 2008, 05:32:14 AM »
Question
Some insurers seem to want the start and stop times in Box 19 (Medicare, for example) while others want it in the shaded area above Date of Service.   Is there one place it can go that will make everyone happy?

Box 24G seems like it should always be minutes of anesthesia, except for special cases (such as 99140, etc.), but some examples online show people putting units in that box (15 min = 1 unit).  Can you confirm that it should almost always be actual minutes?
Thanks.
Les

Answer
Les,

   I checked with several insurance carriers including Medicare, Wellmark, and Aetna.  They all state that anesthesia minutes are reimbursed under units.  If you submit the claim with the actual minutes they convert them into units.  Some carriers have specific requirements regarding including the start & stop time as well in specific boxes on the CMS (like box 19).  Unfortunately there is not one standard that you can follow for all companies.  If you want to get reimbursed you must  follow their requirements.  I hope that helps.

Michele
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thatcuteblonde

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Re: Regarding billing for anesthesia services:
« Reply #1 on: March 26, 2008, 10:50:57 AM »
I always list the units in 24 G, but if you are billing electronically, you can always include it in the additional documentation box.