tci ED Coding & Reimbursement Alert - 2003 Issue 5

Reader Question: Report With AnesthesiaServices

Question: I was taught that procedures "with anesthesia" take place in the operating room. I also learned that anesthesia in the OR requires mechanical ventilation, whereas with conscious or deep sedation, more commonly seen in the ED, the patient maintains his own airway. Is this information correct? Can I not report "with anesthesia" procedures for ED physicians? Mississippi SubscriberAnswer: Most payers interpret procedures containing "with anesthesia" in the description as having taken place in the operating room (OR), not the ED. Any physician, however, can provide anesthesia services anywhere. Therefore, an ED physician may use anesthesia codes 00100-01999 in...

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