Anes/Pain Tools

Anesthesia & Pain Management Tools

This page has been reviewed. All links are working properly as of 12/29/2018

Be sure to also check Anesthesia Guidelines as some of this information may overlap.

Anesthesia Conversion Factors, Base Units and more from CMS

2009 CVP "Cheat Sheet" for Anesthesia - Do you need central venous access codes for anesthesia? This version will tell you permacath, bard catheter, port-a-cath, etc. and associated radiology guidance CPT codes in a handy cheat sheet; created by Leslie Johnson, CPC.

2013 Nerves Chart - This is a "cheat sheet" that I created for nerve blocks with associated CPT coded. For use as a GUIDE only. iPACK, TAP blocks, Sphenoganglion blocks with Q-Tips and other blocks are discussed. Updated for 2013! Globals and bilateral indicators are included.

Post-op Pain Chart - based on the new NCCI guidelines effective Jan 1, 2013 (current, 2018)

ASA's Standards, Guidelines, Statements and Other Documents - all of them.

CMS Medicare Claims Processing Manual (Pub. 100-04), Chapter 12: This tells the Anesthesia concurrency modifiers (AA, QY, QK, QZ, etc.), discusses Teaching Anesthesiologists or CRNA, and more.

  • Definitions of personally performed, medically directed, and medically supervised: section 50
  • Definition of concurrent procedures: section 50J Anesthesia modifiers: section 50K
  • Base units for anesthesia services: following section 50K: Exhibit 1
  • Anesthesia and Teaching Facilities : section 100.1.2.A.4 CRNA Services: section 140

Epidurogram Checklist - from Leslie Johnson, CPC, this is an epidurogram documentation checklist set to AMA CPT Assistant standards. If it's in there, it's not just a fluoroscopic procedure. *Note* Info is still applicable in 2013

ICD-10 CM for the years from 2010 through 2019. When the zip file is downloaded, all the chapters of the ICD-10 CM will be included. The Official Guidelines for each of these years can be found here, as well.

Pain Reference Chart (Muscles) Excellent visual reference to the different locations of trigger points. You can also download a chart from Pressure Pointer.

Statement on Transesophageal Echocardiography (TEE) from ASA. This contains the how, when and CPT codes for TEE, last updated 2015 but is still current.

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