Anesthesia unit calculator3/26/2023 ![]() ![]() Medicare accepts base units and time units however, depending on the third-party payer, they may or may not accept physical status units and/or qualifying circumstances units. There are four elements to consider when calculating anesthesia fees. When you are on an anesthesia code information page the Anesthesia Fee Calculation can be found on the GREEN Fees tab. For example, a CPT code with a "J" status code is indicating the following If you are not getting the desired fees expected, be sure to check the status code and payment indicators (Located under Additional Code Information - PURPLE tab). When multiple procedures are performed at the same time under the same anesthesia, code the most complex procedure and add the total time for all procedures during the same encounter. If there is another physician administering the moderate conscious sedation with a separate physician performing the procedure in a facility setting, the other physician may report codes 99155- 99157 NOTE: These not reported for services in a physician's office or freestanding imaging center, for services in the office, home, hospital or consult see the Evaluation Management section 99201- 99499. If conscious sedation is being provided by the same physician doing the procedure refer to codes 99151- 99153. Please refer to your MAC Carrier, third-party payer, and the AMA guidelines for more detailed information. ![]() Jan 29th, 2018 - Reviewed/Updated Jun 3rdįees for anesthesia services are not calculated or reported the same as for other types of procedures, we have identified some of the most common rules used for reporting anesthesia in this article.
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