Anesthesia Guidelines

Links have been reviewed and are working properly. 7/8/2012

1995 E&M Guidelines

1997 E& M Guidelines

Anesthesia Center - From CMS

Anesthesia Specialty Guide For Medicare Part B, From Highmark Medicare (2008)

ASA's Fluoroscopy Letter - updated 3/19/2007

ASA Analysis of New Anesthesia Interpretive Guidelines for Hospitalsa - Definition of CMS's rules re: "Immediately Available"; updated on 12/09/2009

ASA's Letter to CMS re: new supervision guidelines on 01/18/2010

ASA's Position on Monitored Anesthesia Care updated on 9/02/2008.

CMS - 12/11/2009 - Hospital Anesthesia Services Interpretive Guidelines details from CMS - look for new anesthesia guidelines regarding physician supervision and definition re:"Immediately Available"; New MAC (monitored anesthesia care) guidelines; guidelines for CRNAs providing regional anesthesia for labor & delivery.

CMS Web-based Training specific to CRNA billing guidance. Have you seen this yet? Hit the >> at the bottom of the page & view more info. Of interesting note - this also gives authoritative reference to CMS IOMs regarding this subject.

Continuum of Depth of Sedation> - A definition of the levels of depths of anesthesia - from ASA, this is an excellent chart to help determine the levels of sedation, from moderate sedation to Monitored Anesthesia Care (MAC) to General Anesthesia

Critical Care by Anesthesiologists - Guidelines from ASA.

Critical Care & Trauma Medical Services Guidelines from ASA

CRNA or Anesthesiologist's Assistant Services Basic rules and definitions - See: Part 410.69

Conditions of Participation from the Federal Register

CRNA Opt-out StatesIf you have any updates - please share!

Distinguishing MAC (Monitored Anesthesia Care) from Moderate Sedation (aka: Conscious Sedation) updated by ASA on 9/02/2008

Documentation Guidelines of Anesthesia Care; from ASA, updated 10-22-2008

Federal Register, Jan 2001 - "State laws determine which professionals are permitted to administer anesthetics & the level of supervision required."

Guidelines for Office-based Anesthesia - from ASA

MAC Description by ASA from 1998

Moderate Procedural Sedation: The Nuts & Bolts from ACEP (American College of Emergency Physicians), provides documentation guidelines for coding/billing Moderate Sedation - aka: Conscious Sedation - in an emergency department setting. Interesting read.

NCCI Chapter 2 - Anesthesia Services - National Correct Coding Policy Manual for Part B Medicare Carriers

Payment for Anesthesia Services Internet Only Manuals from CMS, Chapter 12, Section 50

Post Op Pain Procedures in Conjunction with Anesthesia Services - from the ASA, revised & updated 9/02/2008/ Excellent article on what, when & how certain CPT codes can be reported for post-op pain and invasive monitoring (ie: Swan-Ganz).

Practice Guidelines for Chronic Pain Management by ASA

Safe Use of Propofol from ASA

Standards for PostAnesthesia Care from ASA

Standards for PreAnesthesia Care from ASA

Statement on Anesthesia Care Team from ASA. Of particular interest, see page 3 about the Supervising of CRNA by the Surgeon

Statement on NonOperating Room Anesthetizing Locations from ASA, updated 10/22/2008

Teaching Anesthesiologist Rules/Guidelines from CMS, effective Jan 1, 2010. Also, CMS Transmittal 1859 providing guidance.