Anesthesia Guidelines

Anesthesia Guidelines

Links have been reviewed and are working properly. 12/29/2018

1995 E&M Guidelines

1997 E& M Guidelines


Anesthesia Center - From CMS

Practice Guidelines & Standards by ASA - all of them.

​Basic Standards for PreAnesthesia Care from ASA, Last Amended: October 28, 2015. PDF Copy found here: Basic Standards for PreAnesthesia Care

CMS Medicare Learning Network CMS information that is specific to Anesthesia Assistants (CRNs, AA), Advance Practice Nurses (APN or APRN), Physician Assistants (PA).

Certified Registered Nurse Anesthetist (CRNA), Services of</>42 CFR 410.69: Basic rules and definitions from the Federal Register - See: § 410.69

Conditions of Participation from the Federal Register

Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - A definition of the levels of depths of anesthesia - from ASA, this is an excellent chart to help determine the levels of sedation, from moderate sedation to Monitored Anesthesia Care (MAC) to General Anesthesia. Found here also with updated info: Critical Care Guidelines from ASA; 10/15/2014

CRNA Opt-out States (17 states) Information from the AANA.

Documentation Guidelines of Anesthesia Care; from ASA; amended Oct 2015. Found here: Statement on Documentation of CareLast Amended Oct 17, 2018

Monitored Anesthesia Care, ("MAC") Distinguishing Monitored Anesthesia Care from Moderate Sedation/Analgesia - From ASA 11/2018

Immediately Available; ASA's Definition - "Immediately Available When Medically Directing" from 10/15/2014

Immediately Available Hospital Anesthesia Services Interpretive Guidelines from CMS rev. in 2/2010

Moderate and Conscious Sedation FAQs from ACEP (American College of Emergency Physicians); Financial & Reimbursement Issues

Monitored Anesthesia Care Standards & Guidelines from the ASA; 10/16/2013, Last Amended Oct 15, 2018

NCCI Edits Policy Manual - Policy Manual for Part B Medicare Carriers (found near the bottom of the page); this is a zipped file with PDF documents corresponding to each CPT section; Anesthesia section is Chapter 2

Non-Operating Room Anesthetizing Locations, Statement on from ASA, Reaffirmed Oct 17, 2018

Office-based Anesthesia, Guidelines for - from ASA

Payment for Anesthesia Services Internet Only Manuals from CMS, Chapter 12, Section 50; latest revision 5/31.2018

PostAnesthesia Care, Standards & Guidelines from ASA. Found here: ASA Standards for PostAnesthesia Care

Propofol, Safe Use of from ASA; 12/30/2014, from here: ASA 10/15/2014

Procedural Sedation in the Emergency Department, from ACEP (American College of Emergency Physicians)

Teaching Anesthesiologist Rules/Guidelines from CMS, effective Jan 1, 2010, updated Jan 18, 2013. Also, CMS Transmittal 1859 providing guidance.

Teaching Anesthesiologist Guidelines from CMS March 2018

RSS AAPC Anesthesia Coding Forum

  • What does c/f mean? May 24, 2019
    I can't seem to get the answer to this one no matter how hard I google. The example is "... c/f copd exacerbation..." Is c/f the same as "consistent with"? Thank you!
  • Auditing Fee May 23, 2019
    I've been asked to do a coding audit but I'm unsure of what to charge. I've been a coder for 7 years (actually doing coding on/off during these years), but I've never done an audit. I was hoping some of you who have performed audits could share what you charge? Per hour? Per chart? Thank […]
  • IUD attemt May 23, 2019
    good morning if provider attempted to remove an IUD but was unsuccessful, can I use 58301 with modifier 52?
  • Is it proper to bill 31233 (approach) with CPT 31267 (Cyst removal)? May 23, 2019
    The physician performed an antral puncture with removal of cyst from the left maxillary sinus. Attempts were unsuccessful through the nose. The canine fossa using a scalpel and a inch drill punch was performed through the anterior wall of the left maxillary sinus. This allowed the endoscope to be passed through the front of the […]
  • PRP injections where Provider is only doing the injection portion? May 23, 2019
    I have a provider that just started doing PRP injections in clinic and the machine and kits are supplied by a vendor. From the information I gathered from the clinic manager, the patient pays the vendor upfront for the treatment. The vendor company is then doing all the harvesting and processing of the blood. The […]
  • Maximus Gluteus repair CPT code? May 23, 2019
    Does any one know what CPT code to use for this? Thank you
  • Q3014 billing guidelines May 23, 2019
    As a telemedicine clinic is Q3014 a billable code with commercial insurances? If so, are we able to back bill for this code? Are we in need of a specific modifier to be used at the time of billing the commercial insurance?