Standards Documents

Enter a search term to find standard and specification articles.

Anesthesia Standard v3.1

UHIN STANDARDS COMMITTEE

Approved

 

 

UHIN STANDARDS COMMITTEE

Version 3.1

 Anesthesia Standard

 

 

Purpose: The purpose of the Anesthesia Standard is to standardize the transmission of data for health care services.  This Standard does not alter any contractual agreement between providers and payers.

 

Applicability:  All professional claims and encounters.

 

1.Only American Society of Anesthesiologists (ASA) codes contained in the Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) will be acceptable anesthesia codes.  No proprietary procedure codes are allowed under HIPAA.

 

2. All HCPCS modifiers are allowed.  Use P modifiers (P1-P5) to indicate physical status.  HCPCS modifiers for concurrent situations are allowed.  No proprietary modifiers are allowed under HIPAA.

 

3.Actual minutes (not hours) are required for time based procedures. For non–time based procedures, units are equal to the number of times the procedure was performed.  See Pain Management Standard for further information on pain management and anesthesia. 

 

4.Report qualifying circumstance, i.e., 99140 = emergency, on separate line with separate charges.

 

  1. Anesthesia related surgical procedure codes are reported in 837 Claim in the loop 2300, HI – Anesthesia Related Procedure, and in the CMS 1500 Paper Claim Form in Box 24d (Procedures, Services or Supplies and appropriate modifiers).

 

IMPLEMENTATION ISSUES:

 

  1. Payers may require, for adjudication purposes, the surgical code for which the anesthesia services were rendered.

 

  1. Providers will need to work with surgeons and hospitals to obtain the surgical codes.

 

 

 

 

 

Original

(v 1.0)

A* 1 (v2.0)

A 2

V3.0

V3.1

ORIGINATION DATE

01/14/98 

1/18/02 

02/29/08

10/26/2010

7/7/2014

APPROVAL DATE

05/20/98 

06/12/03 

05/02/08

02/02/2011

9/10/2014

EFFECTIVE DATE

06/20/98 

07/12/03 

06/02/08

03/02/2011

11/5/2014

 

 

 

 

 

Leave a Reply

You must be logged in to post a comment.