tci E/M Coding Alert - 2023 Issue Q3

Reader Questions: Are Pre-Op Services Part of Anesthesia Care?

Question: Are there any guidelines as to when an anesthesiologist can bill separately for an evaluation and management (E/M) level of service and what the documentation must include? The services must go beyond the provision of routine preoperative services, right? Alabama Subscriber Answer: According to an article by the American Society of Anesthesiologists (ASA), “Under specific conditions, E&M services can be billed using the appropriate E&M code that reflects the level of service provided to the patient; however, to bill for E&M services requires that specific criteria are met and that the services can be...

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