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© 2021 Palmetto GBA, LLC

We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.

Published Date:06/01/2016

Printed Date: 9/22/2015

URL: http://palmgba.com/marlowe/redesign6/article.html

Anesthesia and Pain Management

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Access CMS-level guidance for anesthesia services through the following links.
  • CMS 'Anesthesiologists Center'
    • Includes a spreadsheet of base units by CPT code and current year Anesthesia Conversion Factor
  • CMS Medicare Claims Processing Manual (Pub. 100-04), Chapter 12 (PDF, 1.1 MB)
    • Definitions of personally performed, medically directed and medically supervised: section 50
    • Definition of concurrent procedures: section 50.C
    • Anesthesia claims modifiers: section 50.I
    • Anesthesia and Teaching Facilities: section 100.1.2.A.4
    • Qualified Nonphysician Anesthetists Services (CRNAs and AAs): section 140
    • Billing Modifiers for qualified nonphysician anesthetists: section 140.3.3

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Anesthesia: Modifier Submission 11/23/2020
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Monitored Anesthesia Care (MAC) 05/28/2020
   

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