Table of Contents
How do you bill for epidural?
The CPT code assignments for a single epidural injection are 62310, cervical/thoracic region; or 62311, lumbar/sacral (caudal) region. The CPT code assignments for epidural injections by infusion or bolus are 62318, cervical/thoracic regions; or 62319, lumbar/sacral (caudal) regions.
How are CPT codes used for billing?
CPT codes are used to describe tests, surgeries, evaluations, and any other medical procedure performed by a healthcare provider on a patient. CPT codes are an integral part of the billing process. CPT codes tell the insurance payer what procedures the healthcare provider would like to be reimbursed for.
What is the CPT code for anesthesia for vaginal delivery?
Coding and Payment
| Code | Description |
|---|---|
| 01960 | Anesthesia for vaginal delivery only. [Note: Anesthesia via epidural catheter should be billed using CPT code 01967.] |
| 01961 | Anesthesia for cesarean delivery only. |
What is the CPT code for interlaminar epidural steroid injection?
A transforaminal epidural steroid injection (TFESI) performed at the T12-L1 level should be reported with CPT code 64479. When reporting CPT codes 64479 through 64484 for a unilateral procedure, use one line with one unit of service.
How is anesthesia billed?
The proper way to report anesthesia time is to record it in minutes. One unit of time is recorded for each 15-minute increment of anesthesia time. For example, a 45-minute procedure, from start to finish, would incur three units of anesthesia time. Being exact is required, since Medicare pays to one-tenth of a unit.
How are anesthesia charges calculated?
Payment for services that meet the definition of ‘personally performed’ is based on base units (as defined by CMS) and time in increments of 15-minute units. Time units are computed by dividing the reported anesthesia time by 15 minutes (17 minutes / 15 minutes = 1.13 units).
How are CPT codes created?
In order to establish new CPT codes, an individual, a physician, or a specialty group must submit a coding change request form. The CPT Advisory Committee then reviews the proposed code. Attached are the coding change request forms for Category I, II and III code sets from the AMA.
What do you need to know about maternity CPT 01960?
MATERNITY-RELATED ANESTHESIA CPT 01960, 01967 1 • Labor epidural provided by the surgeon must be billed with the appropriate delivery anesthesia… 2 • CPT surgical codes 62311 and 62319 are not to be used to bill pain management for… 3 • Medications for pain relief given during the time of the epidural anesthesia are not covered as…
Who are the people in ZIP code 01960?
The people living in ZIP code 01960 are primarily white. The number of seniors is extremely large while the number of people in their late 20s to early 40s is large. There are also a slightly higher than average number of single adults and a slightly less than average number of families.
How many units are needed for ASA code 01967?
A base of 5 units is added for the ASA code 01967, and a base of 3 units is added for 01968. For all other labor and delivery, ASA codes 01960 (Anesthesia for vaginal delivery only) and code 01961 (Anesthesia for Cesarean delivery only) should be used.