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Anesthesia/Pain Coding Tools

This page has been reviewed. All links are working properly as of 3/17/2017

Be sure to also check Anesthesia Guidelines as some of this information may overlap.

Anesthesia Conversion Factors, Base Units and more from CMS

2009 CVP "Cheat Sheet" for Anesthesia - Do you need central venous access codes for anesthesia? This 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.

2013 Nerves Chart - This is a "cheat sheet" that I created for nerve blocks with associated CPT coded. For use as a GUIDE only. iPACK, TAP blocks, Sphenoganglion blocks with Q-Tips and other blocks are discussed. Updated for 2013! Globals and bilateral indicators are included.

2013 Post-op Pain Chart - based on the new NCCI guidelines effective Jan 1, 2013

ASA's Standards, Guidelines, Statements and Other Documents

CMS Medicare Claims Processing Manual (Pub. 100-04), Chapter 12: This tells the Anesthesia concurrency modifiers (AA, QY, QK, QZ, etc.), discusses Teaching Anesthesiologists or CRNA, and more.

  •  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

Epidurogram Checklist - from Leslie Johnson, CPC, this is an epidurogram documentation checklist set to AMA CPT Assistant standards. If it's in there, it's not just a fluoroscopic procedure. *Note* Info is still applicable in 2013

ICD-9 CM - directly from the CDC.

Pain Reference Chart (Muscles) Excellent visual reference to the different locations of trigger points. You can also download a chart from Pressure Pointer.

RVU 2010 with a twist - This contains only Globals & modifier use with Status Indicator Meanings. You can tell allowed bilateral procedures, co-surgeon-allowed procedures & Global days for procedures. Just a little tool that LJ created for when you don't need the entire RVU information. Use it as a guide ONLY - make your own from the current year RVU.

Statement on Transesophageal Echocardiography (TEE) from ASA. This contains the how, when and CPT codes for TEE.

Please Use the following Cheat Sheets as GUIDES ONLY. Some of these date back to 2005, but they're here to give you ideas & guidance if you're looking for something for your own company or practice.

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

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

OB-Gyn Dx Cheat Sheet