Anesthesia Guidelines

Anesthesia Guidelines

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

1995 E&M Guidelines

1997 E& M Guidelines

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Anesthesia Center - From CMS

Practice Guidelines & Standards by ASA - all of them.
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​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

  • venography September 28, 2020
    PREOPERATIVE DIAGNOSIS: Recurrent right DVT. POSTOPERATIVE DIAGNOSIS: Bilateral common iliac compression. PROCEDURE NAME: 1. Pelvic venography. TECHNIQUE/FINDINGS: The risks, benefits and alternatives of the procedure were discussed with the patient, and informed written consent was obtained. The patient was brought to the angiography suite, and the bilateral groins were prepped and draped in sterile fashion. […]
  • Wound Care September 28, 2020
    I have a wound care question, I work with a wound care provider twice a week, he has always included a 99214(or applicable OV code) with his wound care codes, he has done wound care for a long time, he is now being told that after the first visit with the patient the only code […]
  • Coding Lisfranc Dislocations by Primary Arthrodesis September 27, 2020
    Good afternoon, Our practice has recently had several Lisfranc surgeries and I wanted to seek out advice to ensure we were billing them correctly. Any responses to either of my questions for these types of surgeries would be greatly appreciated! One of the recent surgeries involved a Lisfranc dislocation of all five of the tarsometatarsal […]
  • AAPC blackboard anyone know why I can't log in? It says no longer a valid address. September 27, 2020
    Hi, I paid for CPC, CPC-P and CPMA classes, good through 2/28/17, and can no longer sign into AAPC blackboard. Has the website changed addresses does anybody know? Thanks, Leah Johnson RN
  • Cardiac cath help September 27, 2020
    93458 by MD 93454 by coworker I am unsure. Indication: 1. Angina pectoris functional class 3-4 2. Baseline abnormal EKG suggestive of anterolateral wall ischemia 3. Elevated coronary artery calcium score 4. Hypercholesterolemia and hypertension 5. Dyspnea upon exertion 6. Angina pectoris functional class 4 during recovery time after Lexiscan nuclear test today at this […]
  • 99221-99223 September 27, 2020
    Help. I have been told too many things on these codes. If my provider is not the admitting physician can he bill these codes for his consult for his initial visit? I have been told yes without the AI modifier and no you bill the 99231-99233 codes since most insurances do not accept the consult […]
  • Incident to requirements September 27, 2020
    For an Ear, Nose and Throat practice, is it permissible by CMS and other insurance companies to have a Physician's Assistant see and treat a new patient in the office and to have the Physician's assistant be billed as rendering provider? (with and MD as supervisor)
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