| + Topic:General |
| - Topic:General |
| | Question | Answer | Date of Entry | Archive Date |
| | How do I submit a new question? |
Click on the Submit Coding Question link to the right.
| 10/9/2003 | |
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| | When a patient returns to the operating room for another procedure on the same date as another, will the second anesthesia service be reimbursed? | Medica will reimburse one anesthesia service per anesthesia provider per date of service. The exception to that is if the patient has to return to the OR for a second procedure on a given date. The 78 modifier (Return to the operating room) should be on the second anesthesia service submitted to show it was a separate surgical session. | 1/18/2005 | |
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| + Topic:Global Days |
| - Topic:Global Days |
| | Question | Answer | Date of Entry | Archive Date |
| | Can an anesthesia provider who has performed a procedure bill an E / M on that same date of service? |
Visits post-operatively are considered included in the global care of the patient after a procedure unless the anesthesia provider is being requested to see the patient for post-operative pain management. If providing pain management, the appropriate consult or pain management code may be billed.
| 6/3/2004 | |
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| + Topic:Modifier |
| - Topic:Modifier |
| | Question | Answer | Date of Entry | Archive Date |
| | I am receiving rejections stating I am using an incorrect modifier. I have looked in the current CPT book published by the AMA and I am using a correct modifier. Can you please tell me specifically what is wrong with the modifier attached? | The denial reason explanation isn't very clear but the issue is that the anesthesia services are being submitted under a non-anesthesia provider and we only reimburse anesthesia services (00100 – 01999) to anesthesia providers, which are assigned a "20" provider number. | 2/13/2007 | |
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