Anesthesia Procedure Codes/Base Units/Concurrency

Anesthesia Procedure Codes/Base Units/Concurrency

The Base Units are set up in the Procedure Code Library in the Anesthesia Info Panel.

LibrariesProcedure Codes button > Select the Procedure CodeAnesthesia Info Panel

Notes
***This panel is available only after Anesthesia Billing has been activated.
Timed Anesthesia Codes: 00100-01999

Anesthesia Info Panel

Complete the Information in the Anesthesia Info Panel to designate that the Procedure is Time billed, Concurrency is allowed, base units are set with an option for Effective and Expiration Dates.

  1. Timed: Yes must be selected to use Timed Billing for start and end times.

  1. Maximum Fee: Optional

    • This is the maximum fee total for a given procedure line.

    • If the fee exceeds the Maximum Fee when saving the screen, a Validation Error will display, and the screen cannot be saved.

  1. Allow Direct and Supervised Concurrency: Select the check box if applicable.

    • Normally, you would get a Validation Error for Procedures overlapping with other Procedures.

    • To override the Validation Error, check this box if the Procedure can run simultaneously and can overlap with other Procedure Codes.

      • Checking this box allows for Anesthesia services to be provided by an Anesthesiologist concurrent with Medically Directing/Supervising.

    • Use Case: Labor and delivery codes, 01960 and 01967.

  1. Enter the Base Units.

    • The Base Units entered here for this Procedure will be used for all Dates of Service (DOS) unless Effective Dates are entered.

  1. Effective and Expiration Dates, if applicable.

    • Select the Plus icon to add other Base Unit values for different Dates of Service using a new Effective Date.

      • The System automatically enters/updates the Base Units when a Date of Service on a Procedure line is entered or changed.

      • **However, if a Base Unit has been manually entered, it will not be overwritten by the System.**

    • Example: You want to change the Base Unit at the beginning of the year.

      • Enter an Expiration Date on the current Base Unit line.

      • Select the Plus icon to add a new Base Unit line with an Effective Date.

    • A Base unit line can be deleted using the minus sign (not recommended).

  1. Select Save [F2].


    • Related Articles

    • Anesthesia Time Unit Settings

      The Anesthesia Time Unit Settings determine how time is translated into Units. Set up a default that is used for all Payers. If a Payer uses a different (non-default) logic, add a separate Time Unit Calculation Profile and link to that specific Payer ...
    • Anesthesia Visit Concurrency

      Anesthesia Visit Concurrency Concurrency occurs when an anesthesiologist is medically directing or medically supervising the work of one or more anesthesia professionals. The appropriate billing modifier is determined by the maximum number of cases ...
    • Anesthesia Billing FAQs

      Anesthesia Billing Setup How do I set up Anesthesia Billing? Anesthesia Billing Resources Concurrency Why is Anesthesia billed using Concurrency? Concurrency Reports are necessary for Anesthesia services that are provided by CRNAs. Many states ...
    • Anesthesia Crosswalk® Codes

      Contact Support or your Implementation Manager to use this feature. What is an Anesthesia (ASA) Crosswalk®? The Anesthesia Crosswalk® maps the Surgery Procedure Code to the corresponding Anesthesia Code. This is an add-on provided by the American ...
    • Anesthesia Billing Setup

      Activate Anesthesia Billing A System Setting is used to activate Anesthesia functionality in the System. Admin > System Settings > General > ANESTHESIA > Y Anesthesia Time Units Set up the Anesthesia Time Units Admin > Anesthesia Time Units System ...