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

  • In E/M level coding Medical necessity is moderate but problem related HPI elements is not there, can we give level 4.Thanks December 5, 2019
    Patient is established came with headache and fatigue with 1 week.patient had hypertension, Physician said continue medication.But in assessment Allergic rhinitis is there he treated with RX.Allergic rhinitis HPI elements is not there,but elements is there which related to HTN. So please can you suggest the appropriate level ?Thanks
  • Need coding help please 44120? Hernia? December 5, 2019
    Hi All, Can I get a little help please. Getting 44120 but can I get anything for the hernia ? Thanks so much! midline incision was then made and carried through the subcutaneous tissue to the fascia. The fascia was incised and the abdomen opened. There was significant adhesive disease to the midline. There was […]
  • Hair tourniquet of penis December 5, 2019
    Could someone help me with getting a for hair tourniquet of penis CPT code? The code that my provider used is 54115; which I do not agree with. See op note for details. I was wondering for this patient that I would use an unlisted procedure code. OP note: This is a 7-year-old child with […]
  • Chronic Patellar dislocation December 4, 2019
    Need help coding this OP report. 29870, 27422, 27350, 27428, 27350, 20680? A knee scope was inserted through the superolateral patellar portal to evaluate the joint and pictures were obtained showing the diseased lateral patellar facet and lateral femoral condyle. A longitudinal midline knee incision as such would be used for a total knee replacement […]
  • 27427 for MPFL pants-over-vest repair? December 4, 2019
    I'm wondering if this is the correct code for a MPFL pants over vest repair. "Made an incision over the medial patella. Blunt dissection was taken (down to) MPFL. I did a pants-over-vest repair using vicryl suture with three sutures placed trying not to over-tighten..." Patient has recurrent patella dislocations. My doc is submitting this […]
  • Palliative Care Coding-Symptoms or conditions? December 4, 2019
    Hi Everyone, I need input on a specific topic regarding Palliative care coding. I've read many articles online and read through forums to try to obtain these answers and I feel that they are all over the place. When coding for Palliative care, I was told that symptoms are coded over definitive conditions, and I've […]
  • Surgery Coding December 4, 2019
    Good Afternoon - I just wanted to check some coding rules for which I am starting to get confused on. Say the physician decides to do a thyroglossal duct cyst excision as the patient has a mass and ultrasound confirm most likely a thyroglossal duct cyst or cystic structure. They obtain prior authorization for 60280. […]