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K
Wiki Billing time hand off anesthesia cases

Thank you Dana! This is a great explanation. We are coding manually from a charge slip not through EPIC and we use Micro MD software.
- ksmcarthur
- Post #5
- Sep 22, 2022
- Forum: Anesthesia
K
Wiki Billing time hand off anesthesia cases

Yes. We use Micro MD.
- ksmcarthur
- Post #4
- Sep 22, 2022
- Forum: Anesthesia
K
Wiki Billing time hand off anesthesia cases

Hello group. If provider A starts an anesthesia case and leaves the case but provider B finishes the case how do we bill for this? Should we bill the surgery out under both provider under their time spent on the case or put the entire case under one of the providers? I can't find much...
- ksmcarthur
- Thread
- Sep 16, 2022
- Replies: 7
- Forum: Anesthesia
K
Wiki Anesthesia Cross Coder

Can anyone recommend a 2022 book to replace Optum 360 Anesthesia Cross Coder? Thanks in advance!
- ksmcarthur
- Thread
- Nov 27, 2021
- Replies: 3
- Forum: Anesthesia
K
Wiki PENG Block

Hello, Does anyone know which cpt code is used for this block? Thank you in advance, Karen
- ksmcarthur
- Thread
- Feb 20, 2020
- Replies: 1
- Forum: Anesthesia
K
Wiki caudal epidural with MAC

Does anyone bill MAC anesthesia for a caudal epidural done by a separate provider? I don't see an Anesthesia crosswalk code for 62322.
- ksmcarthur
- Thread
- May 21, 2019
- Replies: 2
- Forum: Anesthesia
K
Wiki extubation

How do you bill MAC anesthesia for extubation done in the OR by the surgeon? There isn't an ASA code for unlisted cpt code 31599.
- ksmcarthur
- Thread
- Feb 19, 2019
- Replies: 0
- Forum: Anesthesia
K
Wiki Dental

We billed D5120 and D5110 to the insurance and have been paid. The pt is unhappy after multiple wax try ins and wants to go somewhere else. The insurance says that we have to refund them for D5120 and D5110. Is there something else that we can bill for the molds and try ins?
- ksmcarthur
- Post #3
- Jul 13, 2018
- Forum: Medical Coding General Discussion
K
Wiki Dental

Does anyone on her bill dental codes?
- ksmcarthur
- Thread
- Jul 12, 2018
- Replies: 2
- Forum: Medical Coding General Discussion
K
Wiki Clinical Practice Improvement Activities for Anesthesia

Hi Group Can anyone tell me if they are reporting CPIA Measures for an Anesthesia Group? I have researched and found the Measures applicable to Anesthesia but I haven't found any guidance on how to implement and/or document these measures. Does anyone have any suggestions? Thanks, Karen
- ksmcarthur
- Thread
- Oct 3, 2017
- Replies: 1
- Forum: MACRA
K
Wiki medical direction documentation

Hi Group, Can anyone tell me if their anesthesia docs are documenting all 7 steps of medical direction? I have a doc who doesn't feel that his colleagues are documenting all 7 steps in "the real world" of anesthesia billing/coding. This group is located in Ohio. Thank, Karen
- ksmcarthur
- Thread
- Apr 19, 2016
- Replies: 0
- Forum: Anesthesia
K
Wiki 2015 canpc exam

Hi Group, I have found discrepancies in the study guide for Medicare coding. The book states not to use physical status modifiers for Medicare patients, which is correct. However, on the practice test in the study guide question #18 is using the P3 mod for a Medicare pt and the Rationale...
- ksmcarthur
- Thread
- Nov 11, 2015
- Replies: 1
- Forum: Anesthesia
K
Wiki Medical Direction and Supervision

Hi Group, Can the Anesthesiologist choose to Medically Direct the Anesthesia Assistants and Medically Supervise the CRNA on a daily basis? Thanks in advance! Karen
- ksmcarthur
- Thread
- Aug 19, 2015
- Replies: 0
- Forum: Anesthesia
K
Wiki Crna tunneled catheter

Can a CRNA insert a tunneled centrally inserted central venous catheter, CPT 36558? CGS Medicare denied our claim billed by a CRNA only stating payment is denied when performed/billed by this type of provider.
- ksmcarthur
- Thread
- Jul 24, 2015
- Replies: 1
- Forum: Anesthesia
K
Wiki PQRS Measure #193

I meant G9363. Thank you for the clarification! :)
- ksmcarthur
- Post #4
- Apr 29, 2015
- Forum: Anesthesia
K
Wiki PQRS Measure #193

Can G9362 be reported alone on a GA case with active warming that is under 60 minutes or should it be reported with 4250F 1P?
- ksmcarthur
- Thread
- Apr 24, 2015
- Replies: 3
- Forum: Anesthesia
K
Wiki Help with labor epidural billing

Thank you!!
- ksmcarthur
- Post #3
- Feb 11, 2015
- Forum: Anesthesia
K
Wiki Mod74 with Medicare

Thank you!!
- ksmcarthur
- Post #4
- Feb 9, 2015
- Forum: Anesthesia
K
Wiki Mod74 with Medicare

Hi Group, I billed mod 74 to CGS Medicare for a procedure that was cancelled by the surgeon due to skin issues 48 minutes after the pt was placed under anesthesia. This procedure was done as out pt in the hospital with pos 22. I was told by CGS that mod 74 is only for ambulatory surgical center...
- ksmcarthur
- Thread
- Feb 6, 2015
- Replies: 3
- Forum: Anesthesia
K
Wiki Help with labor epidural billing

Hi Group, My anesthesia charge ticket for a labor epidural has the time as start 1352 stop 1430 then above that time the dr. wrote start 1945 stop 2005. There is no mention of the second set of time on the anesthesia record. When I questioned the dr. for a second anesthesia record this is how...
- ksmcarthur
- Thread
- Feb 6, 2015
- Replies: 2
- Forum: Anesthesia
K
Help-CRNA billing 62319 and 62311

Hi Group, CGS Medicare is denying our claims for 62319 and 62311 when billed by a CRNA with CO170, payment denied when billed by this provider type. I called Medicare and was told that there is no documentation to support this denial only an internal edit that states these services are outside...
- ksmcarthur
- Thread
- Feb 6, 2015
- Replies: 1
- Forum: Anesthesia
K
Wiki Anesthesia Billing Software - Can anyone recommend

Can anyone recommend a good Anesthesia Billing Software?
- ksmcarthur
- Thread
- Oct 22, 2014
- Replies: 1
- Forum: Anesthesia
K
Wiki Cpc, cgsc

I am a CPC and CGSC coder looking for a full time or remote coding job in northeast Ohio. I am currently coding anesthesia charges and have recently coded gastro and general surgery charges and ER coding.
- ksmcarthur
- Thread
- Aug 20, 2014
- Replies: 1
- Forum: Resume Postings
K
Wiki MMO Q0091 take back

MMO is doing a large take back on Q0091 for our group going back to 2010 for claim where we billed Q0091 with a preventative. MMO advised us that they did some research and in 2011 ACOG issued a statement stating Q0091 is included in the preventative visit so MMO paid Q0091 in error and now they...
- ksmcarthur
- Thread
- Jul 15, 2013
- Replies: 0
- Forum: Auditing General Discussion
K
Wiki groin and buttocks wound

:confused::confused:I need help coding this: The pt was taken to the operating room, placed in right lateral decubitus position and sedation was administered. The buttocks were examined There was a large pilonidal type cyst with skin breakdown and a large area encompassing the midportion of...
- ksmcarthur
- Thread
- Sep 21, 2012
- Replies: 0
- Forum: General Surgery
K
Wiki Dr. changes tax id during pt's pregnancy

Dr. A already billed 59425 under her previous tax id and wants to bill 59425 again under the current tax id. I called MMO and they said to bill the antepartum visits under the current tax id as office visits. I think we should bill 59426 under the current tax id since her antepartum care ended...
- ksmcarthur
- Post #5
- Jun 28, 2012
- Forum: OB/GYN
K
Wiki Dr. changes tax id during pt's pregnancy

Yes, Dr. A and B are in the same group now but Dr. A wants to bill the antepartum care that she gave under her old tax as well as the antepartum care that she gave under the new tax id. She wants to bill 59425 twice and Dr. B was on call and did the delivery and he wants to bill for the delivery.
- ksmcarthur
- Post #3
- Jun 28, 2012
- Forum: OB/GYN
K
Wiki Dr. changes tax id during pt's pregnancy

How do you bill antepartum care if Dr. A treats the pt for 5 antepartum visits under her old tax id and 4 visits under her new tax id and Dr. B who is under the new tax id delivers the baby.
- ksmcarthur
- Thread
- Jun 27, 2012
- Replies: 4
- Forum: OB/GYN
K
Wiki how to code wide excision melanoma upper extremity

How would you code the following: The right arm was prepped and draped in standard fashion. Elliptical incision was made surrounding the pervious biopsy site, deepened using electrocautery until the muscle fascia was identified. The specimen was removed from the fascia and this was then...
- ksmcarthur
- Thread
- Feb 9, 2012
- Replies: 3
- Forum: General Surgery
K
Wiki CGSC study material

I am preparing for the CGSC test and I have the AAPC CGSC Study Guide. I was wondering if there are any other study materials that anyone could recommend for General Surgery.
- ksmcarthur
- Thread
- Feb 21, 2011
- Replies: 1
- Forum: Medical Coding General Discussion
K
Wiki Hepatitis B adult dosage

Does an adult need a series of 3 Hepatitis B vaccinations? If so how would that get billed for an adult pt that is not immunosuppressed?
- ksmcarthur
- Thread
- Feb 18, 2011
- Replies: 0
- Forum: Family Practice