Question

As a new medical coder for an Anesthesiologist group, it is important that you practice calculating service payments by assigning the appropriate anesthesia code(s) and modifier(s), as well as determining the base and time unit values, any modifying circumstances, and the conversion factor to arrive at your anesthesia service payment.

Apply your knowledge of Anesthesia coding.

Include the following aspects in the assignment:

Ø  Describe how to calculate anesthesia base and time units

Ø  Distinguish anesthesia service payments by using and describing the approved formula

Ø  Arrive at the correct reimbursement and coding responses for each problem

Ø  Assign HCPCS level II, physical status, and qualifying circumstance codes to CPT anesthesia codes.

Answer 1

1. Base unit - The current Procedural Terminology (CPT) code range foo Anesthesia ootoo -01999 is a medical code ret maintained AMA. CPT code range (99100-99150) foo general Anesthesia, Separate Base unit is present for each CPI code. 2. Time unit :- Total minutes of service 15. e units + Time units)x Conversion factor = Anesthesia Reimbursement. 4. HCPCS level 11 codes are alphanumeric medical procedure codes used primarily to identity products, supplies & services not included in the CPT code (lend I) eg, ambulance seruin, prosthetic denices, durable medical equipment, or thotian, Physical status: P1 - Anormal healthy patient. P2 - A patient a mild systemic ds. PB-A patient Ĉ severe systemic ds. P4-A patientē sevene systemic disease that is a constant threat to life P5-A moribund patient whois not expected to suruire without the operation. P6 - A declared brain-dead patient whose argans and being semered for dorar purpose. Qualifying circumstances - 99100 - unit value-T gg 116 - unit value-5 29135 unit ralice - 5 99140 unit ralue-2