Anesthesia Guidelines

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Updated 8/1/2022

Anesthesia Center – From CMS

Practice Guidelines & Standards by ASA – all of them.

​Basic Standards for PreAnesthesia Care from ASA, Last Amended: Dec 13, 2020. PDF Copy found here: Basic Standards for PreAnesthesia Care

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 (22 states, as of 2022) Information from the American Society of Anesthesiologists.

Documentation Guidelines of Anesthesia Care; from ASA; amended Oct 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 Also see Definition of ʺImmediately Availableʺ When Medically Directing from 2019.

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 and Distinguishing Monitored Anesthesia Care (ʺMACʺ) from Moderate Sedation/Analgesia (Conscious Sedation) Last Amended: October 17, 2018

NCCI Edits Policy Manual CMS Policy Manual for Part B Medicare Carriers; current year, Chapter 2. For prior years, go here: NCCI Manual Archive

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

Office-based Anesthesia Guidelines – 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 amended on October 23, 2019

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

MLN Booklet Teaching Physicians, Interns, & Residents Guidelines MLN006347; May 2022. May 2022. See bottom of pg 4.