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Anesthesia/Pain Coding Tools


Contents on these pages can be viewed by hovering over any icon to the left of the links with your mouse. They can also be printed.

They can also be seen and/or downloaded directly, by right-clicking on the link with your mouse and opening to a new window.

Be sure to also check Anesthesia Guidelines as some of this information may overlap. Other information may be found there that you need as well.

2010 Anesthesia Conversion Factors updated, from ASA

2009 Anesthesia Base Units by CPT Code [ZIP, 9KB] These are the anesthesia base units used to compute allowable amounts for anesthesia services under CPT codes 00100 to 01999.

2009 Anesthesia Conversion Factor [ZIP, 10KB] These are the anesthesia conversion factors used to compute allowable amounts for anesthesia services under CPT codes 00100 to 01999.

2009 CVP "Cheat Sheet" for Anesthesia - Do you need central venous access codes for anesthesia? This is updated version will tell you permacath, bard catheter, port-a-cath, etc. and associated radiology guidance CPT codes in a handy cheat sheet; created by Leslie Johnson, CPC.

2009 ICD-9 - Tabular Addenda - Diagnosis Code Changes

2009 Nerves Chart - Common names & respective CPTs for associated nerve blocks; updated with Globals & Bilateral indicators added; from Leslie Johnson, CPC

2008 ICD-9 Codes - Special thanks to Ginger Ryder, CPC

2007 ICD-9 Codes - Effective Oct. 1, 2006

2007-2008 Central Venous Access Chart - This is a 1-page chart, updated for 2007 use, of the Codes for Catheters and Devices - geared specifically for anesthesia, created by Leslie Johnson, CPC

Anesthesia Base Units by CPT (2008) from CMS

Anesthesia 101 Billing & Coding Module - Written in 2008 by Leslie Johnson, CPC, this 111-slide presentation is straight-up, easy to read and filled with examples. Offered at a deeply discounted price - $57.50. Click here for the full description & how to buy.

Please Use the following Cheat Sheets as a GUIDE

Anesthesia Cheat Sheet for CPT, page 1 (2005)- by Beth Ramsey LPN, CPC from anpm List Serve

Anesthesia Cheat Sheet for CPT, page 2 (2005)- by Beth Ramsey LPN, CPC from anpm List Serve

Anesthesia Cheat Sheet for CPT, page 3 (2005)- by Beth  Ramsey LPN, CPC from anpm List Serve  "ASA codes not App for Mac" is from an LMRP specific to Palmetto GBA Ohio/West Virginia.

Anesthesia Cheat Sheet for CPT, page 4 (2005)- by Beth Ramsey LPN, CPC from anpm List Serve

Anesthesia Cheat Sheet for Dx (2007)- Ears/EGD/Colongoscopy/Cysto/Pain-Spine by Leslie Johnson, CPC

Anesthesia Cheat Sheet for Dx, page 1 (2005)- by Beth Ramsey LPN, CPC from anpm List Serve

Anesthesia Cheat Sheet for Dx, page 2 (2005)- by Beth Ramsey LPN, CPC from anpm List Serve

CMS Medicare Claims Processing Manual (Pub. 100-04), Chapter 12:


  • Definitions of personally performed, medically directed, and medically supervised: section 50

  • Definition of concurrent procedures: section 50J
    Anesthesia modifiers: section 50K

  • Base units for anesthesia services: following section 50K: Exhibit 1

  • Anesthesia and Teaching Facilities : section 100.1.2.A.4 CRNA Services: section 140

Common Nerve Injection Names Chart (2007)- by Leslie Johnson, CPC; modified for ASC use by Edwina Sprow, CPC

Epidurogram - Billing information from Research Markets (not really sure what this is, but it's a PDF with some good information about coding/billing for the epidurogram

Female Procedures Cheat Sheet(2005)- by Beth Ramsey LPN, CPC from anpm List Serve

Intravascular Catheter Placement from ASA, updated on September 2, 2008

Medi-Cal Modifiers (2006)

OB-Gyn Dx Cheat Sheet (2005)- by Beth Ramsey LPN, CPC from anpm List Serve

Pain Management / Anesthesia Cheat Sheet (2005) - by Beth Ramsey LPN, CPC from anpm List Serve

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).

Spinal Cord Stimulator Codes, 2008 - Great coding tips from the American Academy of Pain Medicine

Statement on TransEsophageal Echocardiography - (TEE) from ASA, updated on September 2, 2008. This contains the how, when and CPT codes for TEE.

Trigger Point Chart Excellent visual reference to the different locations of trigger points. You can also download a chart from Pressure Pointer.

Understanding Fluoroscopy - Great article written in 4/2008 regarding when to code Epidurogram vs. Fluoroscopy from the American Academy of Pain Medicine and specifically from this page of Coding Tips

AskLeslie.net Toolbox

Poll

Is linking different ICD-9 to multiple CPTs when the M.D. hasn't done so "diagnosing the patient" & wrong for coders to do?
Yes
21%
No
7%
I'm a physician, I expect my coding staff to know which diagnosis goes with the procedure(s).
14%
Sometimes it is. Sometimes it isn't. It depends on the documentation &situation.
57%
I never really thought about this.
0%
Total votes: 14