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Anesthesiologists Center

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Medicare Learning Network (MLN) Spotlights

Go to the What's New page for the latest MLN products and announcements!  Check it often!


Important Links


Billing / Payment
  • 2008 Anesthesia Base Units by CPT Code [ZIP, 9KB] (updated 1/14/08)
    These are the anesthesia base units used to compute allowable amounts for anesthesia services under CPT codes 00100 to 01999.
  • 2008 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.

2007 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.

2007 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.



Participation
  • Title 42 - Public Health, Chapter IV CMS/DHHS: Conditions of Participation - Part 482.52 - Anesthesia Services
  • State Operations Manual: Hospital Interpretive Guidelines and Survey Procedures - Anesthesia Services -- Appendix A (482.52)
  • Part 410.69 Services of a certified registered nurse anesthetist or an anesthesiologist's assistant: Basic rule and definitions.
  • Pharmaceutical Services - 482.25 (Title 42 - Public Health, Chapter IV CMS/DHHS)
  • Fourteen states have chosen to opt-out of the CRNA physician supervision regulation -- See Anesthesia Supervision in the Spotlight for those states.

Issues on Anesthesia
  • Physician Regulatory Issues Team (PRIT)

Helpful Links
  • American Society of Anesthesiologists
  • American Association of Nurse Anesthetists (AANA)
  • Related Organizations
CMS Manuals & Transmittals
  • Medicare Claims Processing Manual
  • Payment for Anesthesiology Services Chapter 12 - Section 50  (See Sub-Section K - Anesthesia Claims Claims Modifiers) Physician Fee Schedule contains the amount physicians and other providers will receive when providing services to a Medicare beneficiary
  • Program Transmittals
  • National Correct Coding Initiative - Column 1/Column 2 Correct Coding Edits & Mutually Exclusive Correct Coding Edits Anesthesia Services (1/1/08-3/31/08) CPT Codes 00100-00999 CPT Codes 01000-09999
  • "National Correct Coding Policy Manual for Part B Medicare Carriers" Chapter 2 - Anesthesia Services

Educational Resources
  • Medicare Learning Network (MLN)
  • MLN Educational Web Guides
  • MLN Matters Articles (Search)
  • MLN Products

Contacts
  • Contact Your Carrier/FI
    via Toll-Free Numbers and Websites -- A listing of the toll-free numbers that CMS has installed at Medicare FFS contractor sites.
  • Quality Improvement Organizations (QIO)
  • CMS Regional Offices
  • Contacting the Coordination of Benefits Contractors  (COBC)

How to Stay Informed
  • Physicians Open Door Forum
  • Press Releases: CMS Media Release Search

 

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