Placement of external devices including, but not limited to, those for cardiac monitoring, oximetry, capnography, temperature monitoring, EEG, CNS evoked responses (e.g., BSER), and Doppler flow. Anesthesia for percutaneous image guided neuromodulation or intravertebral procedures (eg. The conversion factors decrease as anticipated, but ASA and others will continue our work to get Congressional relief. The formula to calculate the allowed amount for anesthesia is: 2251 0 obj <>/Filter/FlateDecode/ID[<9E604C6EA789D54098D8BFF9F6EF4770>]/Index[2236 29]/Info 2235 0 R/Length 76/Prev 100590/Root 2237 0 R/Size 2265/Type/XRef/W[1 2 1]>>stream I have a question regarding the QZ mo Hello, In this Manual, many policies are described using the term physician. . Reimbursement CPT codes describing services that are integral to an anesthesia service include, but are not limited to, the following: 31505, 31515, 31527 (Laryngoscopy) (Laryngoscopy codes describe diagnostic or surgical services), 36000, 36010-36015 (Introduction of needle or catheter) 36400-36440 (Venipuncture and transfusion), 62320-62327 (Epidural or subarachnoid injections of diagnostic or therapeutic substance bolus, intermittent bolus, or continuous infusion). The actual or anticipated postoperative pain must be severe enough to require treatment by techniques beyond the experience of the operating physician. CPT Codes: What's New in 2023 . Blood sample procurement through existing lines or requiring venipuncture or arterial puncture. means youve safely connected to the .gov website. Per Medicare Global Surgery rules, the physician performing an operative procedure is responsible for treating postoperative pain. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. Contractors compute time units by dividing reported anesthesia time by 15 minutes (17 minutes = 1.13 units). Example: A patient has an epidural block with sedation and monitoring for arthroscopic knee surgery. Applicable FARS/DFARS restrictions apply to government use. 4. Management of epidural or subarachnoid drug administration (CPT code 01996) is separately payable on dates of service subsequent to surgery but not on the date of surgery. %PDF-1.5 % 8. Applications are available at the American Dental Association website. *O'R*l2n,&{E|Vt+ )36W-4qUK}8(;StWjfbcn/~ /L/TY. Pain Medicine: The work Relative Value Units ( RVUs) two new codes for basivertebral lesioning and for facet joint denervation (codes 64633-64636) are announced within the rule. Anesthesia: The rule finalizes the base unit values for the six new anesthesia codes. Reimbursement. Sign Up for the Fusion Anesthesia e-Newsletter, by Rebecca | Feb 24, 2021 | Anesthesia Practice Management. ACE 2022 is now available! Payment for anesthesia services increases with time. CPT code 96523 describes irrigation of implanted venous access device for drug delivery system. In addition, physicians and other health care professionals are facing reinstatement of a 2% sequestration cut plus a 4% PAYGO cut that is part of the American Rescue Plan. document.getElementById( "ak_js_10" ).setAttribute( "value", ( new Date() ).getTime() ); Copyright 2022 Fusion Anesthesia All rights reserved. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. If the epidural catheter was placed on a different date than the surgery, modifier 59 or XU would not be necessary. 2236 0 obj <> endobj Providers reporting services under Medicares hospital Outpatient Prospective Payment System (OPPS) shall report all services in accordance with appropriate Medicare IOM instructions. ) endstream endobj 2237 0 obj <>/Metadata 34 0 R/OpenAction 2238 0 R/PageLayout/OneColumn/Pages 2234 0 R/StructTreeRoot 41 0 R/Type/Catalog/ViewerPreferences<>>> endobj 2238 0 obj <> endobj 2239 0 obj <>/MediaBox[0 0 612 792]/Parent 2234 0 R/Resources<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 2240 0 obj <>stream Our representatives are ready to assist you. BY CLICKING BELOW ON THE BUTTON LABELED I ACCEPT, YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT. ASA advocated for the inclusion of an anesthesiology-specific MVP for several years and we believe the MVP will reduce burden for most anesthesiologists and their groups. On the other hand, if the anesthesia practitioner performed general anesthesia reported as CPT code 01382 and at the request of the operating physician inserted an epidural catheter for treatment of anticipated postoperative pain, the anesthesia practitioner may report CPT code 62326-59 or XU, or 62327- 59 or XU indicating that this is a separate service from the anesthesia service. The National Correct Coding Initiative (NCCI) program contains many edits bundling standard preparation, monitoring, and procedural services into anesthesia CPT codes. hbbd``b`$WXE@+{H0[@Cc V1$$Dt % d100 2 ` U1 Placement of peripheral intravenous lines for fluid and medication administration. Several CPT codes (01951-01999, excluding 01996) describe anesthesia services for burn excision/debridement, obstetrical, and other procedures. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)(June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements. No fee schedules, basic unit, relative values or related listings are included in CPT. For example, if an anesthesia practitioner who provided anesthesia for a procedure initiates ventilation management in a post-operative recovery area prior to transfer of care to another physician, CPT codes 94002-94003 shall not be reported for this service since it is included in the anesthesia procedure package. 5. Stay up to date with MSN Healthcare Solutions. While an anesthesiologist or non-medically directed CRNA may be able to report this service, only one payment will be made per day. Applicable FARS/DFARS Clauses Apply. A peripheral nerve block injection (CPT codes 64XXX)for postoperative pain management may be reported separately with an anesthesia 0XXXX code only if the mode of intraoperative anesthesia is general anesthesia, subarachnoid injection, or epidural injection, and the adequacy of the intraoperative anesthesia is not dependent on the peripheral nerve block injection. This list is not a comprehensive listing of all services included in anesthesia services. This designation will reduce group burden on reporting improvement activities by half. CPT codes 01916-01933 describe anesthesia for radiological procedures. See thepress release, PFS fact sheet, Quality Payment Programfact sheets, and Medicare Shared Savings Program fact sheetfor provisionseffective January 1, 2023. ","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, Please answer the questions below so that we can connect you with an agent. Pain Medicine: The work Relative Value Units ( RVUs) two new codes for basivertebral lesioning and for facet joint denervation (codes 64633-64636) are announced within the rule. Since treatment of postoperative pain is included in the global surgical package, the operating physician may request the assistance of the anesthesia practitioner if the degree of postoperative pain is expected to exceed the skills and experience of the operating physician to manage it. . Under certain circumstances, an anesthesia practitioner may separately report an epidural or peripheral nerve block injection (bolus, intermittent bolus, or continuous infusion) for postoperative pain management when the surgeon requests assistance with postoperative pain management. 1. ","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critc433cb","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"02-08-2023 12:19","End Date":"02-10-2023 12:05","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. The anesthesia base units are unchanged for 2016. Anesthesia codes describe a general anatomic area or service which usually relates to a number of surgical procedures, often from multiple sections of the CPT Manual. The interval time and the recovery time are not included in the anesthesia time calculation. In some cases, a code listed under a body part grouping may be specific to a procedure, such as endoscopic retrograde cholangiopancreatography (ERCP). 1. This is considered part of the anesthesia service and is included in the base unit value of the anesthesia code. (Codes for EMG services are for diagnostic purposes for nerve dysfunction. It also includes the performance of a pre-anesthesia evaluation and examination, prescription of the anesthesia care, administration of necessary oral or parenteral medications, and provision of indicated postoperative anesthesia care. Value. 2264 0 obj <>stream IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. hb```b``c`a`` @ X0_>6C!#(f`ag``ah0Q0uHixy[ Physicians shall not inconvenience beneficiaries nor increase risks to beneficiaries by performing services on different dates of service to avoid MUE or NCCI PTP edits. Listed below are the base unit value changes for anesthesia proceduresin CY 2021. 8. Physicians shall report the Healthcare Common Procedure Coding System/Current Procedural Terminology (HCPCS/CPT) code that describes the procedure performed to the greatest specificity possible. The COVID19 pandemic and nationwide shutdown that started in March 2020 placed a spotlight on crisis preparedness within the U.S. hea Dont assume the codes youve been using to report drugs and biologicals still apply. https:// CPT codes 99151-99157 . 4. See all of the eBooks that we have published in one place. Weve provided the CMS Anesthesia Guidelines for 2021 below From the CMS.gov website . Official websites use .govA You can also access it here: Outpatient Department Prior Authorization Calculator, Advance Beneficiary Notice of Noncoverage (ABN), National Correct Coding Initiative (NCCI) Tool, MACtoberfest: The Virtual World of Medicare On Demand, Provider Outreach and Education Advisory Group (POE-AG), Independent Diagnostic Testing Facility (IDTF), Anesthesia: Base and Time Units - How to Calculate, Payment for services that meet the definition of "personally performed" is based on the base units (as defined by CMS) and time, in increments of 15-minute units, Services that are "medically-directed" are reimbursed at 50 percent of the "personally performed" rate. Key [] References, We are attempting to open this content in a new window. In this instance, the service is separately reportable whether the catheter is placed before, during, or after the surgery. Previous CMS expects to publish the 2022 MIPS measure specifications and other regulatory guidance within the next few weeks on the QPP website. HCPCS/CPT codes include all services usually performed as part of the procedure as a standard of medical/surgical practice. In this case, both the code for the primary anesthesia service and the anesthesia AOC are reported according to CPT Manual instructions. Current Procedural Terminology (CPT) codes, descriptions and other data only are copyright 2020 American Medical Association. IHCP pricing calculation for anesthesia CPT codes 00100 through 01999 is as follows: Base Units + Time Units . The anesthesia practitioner assumes responsibility for anesthesia and related care rendered in the post-anesthesia recovery period until the patient is released to the surgeon or another physician. Anesthesiologists personally performing anesthesia services and non-medically directed CRNAs bill in a standard fashion in accordance with the Centers for Medicare & Medicaid Services (CMS) regulations as outlined in the Internet-only Manual (IOM), Medicare Claims Processing Manual, Publication 100-04, Chapter 12, Sections 50 and 140. We're proud to recognize these industry supporters for their year-round support of the American Society of Anesthesiologists. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled I ACCEPT. cord; lumbar or sacral, Anesthesia for percutaneous image guided neuromodulation or intravertebral procedures (eg. Placement of nasogastric or orogastric tube. An epidural or peripheral nerve block injection (62320-62327 or 64400-64530 as identified above) for postoperative pain management in patients receiving general anesthesia, spinal (subarachnoid injection) anesthesia, or postoperative pain management in patients receiving general anesthesia, spinal (subarachnoid injection) anesthesia, or regional anesthesia by epidural injection as described above may be administered preoperatively, intraoperatively, or postoperatively. The anesthesia practitioner shall not also report CPT codes 62322/62323 or 62326/62327 (epidural/subarachnoid injection of diagnostic or therapeutic substance), or 01996 (daily management of epidural) on the date of surgery. 2. Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt . Hoping to get some education on which unit value(s) should be submitted when coding Anesthesia CPT (00100-01999 series) What are the CMS Anesthesia Guidelines for 2021? 93318 (Transesophageal echocardiography for monitoring purposes) 93355 (Transesophageal echocardiography for guidance for transcatheter intracardiac or great vessel(s) structural intervention(s)) 93561-93562 (Indicator dilution studies), 93701 (Thoracic electrical bioimpedance), 93922-93981 (Extremity or visceral arterial or venous vascular studies) However, when performed diagnostically with a formal report, this service may be considered a significant, separately identifiable, and if medically necessary, a separately reportable service. C8Qp w6 B However, those general guidelines from Chapter I not discussed in this chapter are nonetheless applicable. Example: submit 17 minutes of anesthesia as "0017" in the units field (Item 24G of the CMS-1500 claim form). 10/01/2021 : Primary Care and OBGYN codes Updated to 2020 Medicare Rate (Effective 7/1/2021) PDF: 69.4: 07/01/2021 : Zipped Fee Schedules - 2nd Quarter 2021: ZIP: A physician shall not report multiple HCPCS/CPT codes if a single HCPCS/CPT code exists that describes the services. `sI;# -P..Qx y Additionally, the physician shall not unbundle the anesthesia procedure and report component codes individually. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. Shop ASA Combo - CROSSWALK 2022 and RVG 2022 Books Credits Available: None Accurately code and submit compliant claims so you can obtain proper payment for anesthesia services with the most up-to-date CPT anesthesia codes, CPT procedure codes and anesthesia base unit values contained within the resources of the combo. In some sections of this Manual, the term physician would not include some of these entities because specific rules do not apply to them. Conviction is just one of more than 130 such criminal cases involving 80 million A federal jury convicted a Colorado physician Jan. 13 for misappropriating about 250000 from two separate COVID19 relie Can depression increase the risk of heart disease In recent years scientists have attempted to establish a link between depression and heart disease. It starts when the anesthesia practitioner begins to prepare the patient for anesthesia services in the operating room or an equivalent area and ends when the anesthesia practitioner is no longer furnishing anesthesia services to the patient (i.e., when the patient may be placed safely under postoperative care). 81000-81015, 82013, 80345, 82270, 82271(Performance and interpretation of laboratory tests), 43753, 43754, 43755 (Esophageal, gastric intubation), 92511-92520, 92537, 92538(Special otorhinolaryngologic services), 92953 (Temporary transcutaneous pacemaker). Medicare generally allows separate reporting for moderate conscious sedation services (CPT codes 99151-99153) when provided by the same physician performing a medical or surgical procedure except when the anesthesia service is bundled into the procedure, e.g., radiation treatment management. 64400-64530 (Peripheral nerve blocks bolus injection or continuous infusion) CPT codes 64400-64530 (Peripheral nerve blocks bolus injection or continuous infusion) may be reported on the date of surgery if performed for postoperative pain management only if the operative anesthesia is general anesthesia, subarachnoid injection, or epidural injection and the adequacy of the intraoperative anesthesia is not dependent on the peripheral nerve block. Although some of these services may never be reported on the same date of service as an anesthesia service, many of these services could be provided at a separate patient encounter unrelated to the anesthesia service on the same date of service. 6. The epidural or peripheral nerve block may be administered preoperatively, intraoperatively, or postoperatively. CMS approved an increase in base units for CPT code 00537, cardiac electrophysiolgic procedures including radiofrequency ablation, from 7 base units to 10 base units effective January 1, 2022. Procedure Code Modifying Units 99100 Per the ASA RVG an additional unit for 99100 is not allowed with anesthesia codes 00326, 00561, 00834 and 00836 1 unit 99116 Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). The time that may be reported would include the time for the monitoring during the block and during the procedure. Postoperative E&M services related to the surgery are not separately reportable by the anesthesia practitioner except when an anesthesiologist provides significant, separately identifiable ongoing critical care services. Per CMS Global Surgery rules, postoperative pain management is a component of the global surgical package and is the responsibility of the physician performing the global surgical procedure. Anesthesia: The rule finalizes the base unit values for the six new anesthesia codes. 7U*F !+_ kyphoplasty, vertebroplasty) on the spine or spinal cord; The RS&I codes are not included in anesthesia codes for these procedures. To stay up-to-date on the latest industry news, sign up for MSN email communications. An epidural or peripheral nerve block that provides intraoperative pain management is included in the 0XXXX anesthesia code and is not separately reportable, even if it also provides postoperative pain management. CPT code 01996 may be reported with one unit of service per day on subsequent days until the catheter is removed. The anesthesia base units are unchanged for CY 2020. If a physician performing a radiologic procedure inserts a catheter as part of that procedure, and through the same site a catheter is used for monitoring purposes, it is inappropriate for either the anesthesia practitioner or the physician performing the radiologic procedure to separately report placement of the monitoring catheter (e.g., CPT codes 36500, 36555-36556, 36568-36569, 36580, 36584, 36597). The base units assigned to anesthesia CPT codes and the annual anesthesia conversion factors are available at the CMS Anesthesiologists Center. The evaluation and examination are not reported in the anesthesia time. 0 Several general guidelines are repeated in this Chapter. CRNAs and AAs practicing under the medical direction of anesthesiologists follow instructions and regulations regarding this arrangement as outlined in the above sections of the IOM.. For more information on these issues, please contact the ASA Department of Quality and Regulatory Affairs (QRA) at qra@asahq.org. ET on Friday, February 10, 2023, for staff training. Subscribe to Anesthesia Coder today. hb```,| eaxM@YFl}DP F!Qak`A)L|Z~XV 21cc a`H\ 2007 0 obj <>stream To find the definitions of "personally performed," "medically directed," and to learn about other payment exceptions, please refer to Sections 50.B50.F of CMS Pub.100-04, Chapter 12. CPT Codes Anesthesia Anesthesia for Intrathoracic Procedures 00532 00530 00532 00534 CPT 00532, Under Anesthesia for Intrathoracic Procedures The Current Procedural Terminology (CPT ) code 00532 as maintained by American Medical Association, is a medical procedural code under the range - Anesthesia for Intrathoracic Procedures. Anesthesia services include, but are not limited to, preoperative evaluation of the patient, administration of anesthetic, other medications, blood, and fluids, monitoring of physiological parameters, and other supportive services. Code 00740is deleted for 2018. For Medicare purposes, only one anesthesia code is reported unless the anesthesia code is an Add-on Code (AOC). For example, the operating physician may request that the anesthesia practitioner administer an epidural or peripheral nerve block to treat actual or anticipated postoperative pain. The anesthesia base units are unchanged for 2015. CPT codes 01916-01936 describe anesthesia for radiological procedures. The rule includes payment and quality provisions that take effect on January 1, 2022. CPT copyright 2018 American Medical Association. CMS recognizes this type of anesthesia service as a payable service if medically reasonable and necessary. These codes shall not be reported with any service other than a laboratory service. Read More + Item Details Learning Objectives Disclosure Required Hardware and Software Non-member Price: $52.00 Member Price: $31.00 Quantity: Want to save more? Sign up below to receive regular industry news! Note: This method is used to calculate anesthesia services that are "personally performed." CY 2023 Medicare Physician Fee Schedule (PFS), Medicare Shared Savings Program fact sheet, 2018 Anesthesia Base Units by CPT Code (ZIP), 2015 Anesthesia Conversion Factors (July 1- Dec 31) (ZIP), 2015 Anesthesia Conversion Factors (Jan 1 June 30) (ZIP), 2014 Anesthesia Base Units by CPT Code (ZIP), 2013 Anesthesia Base Units by CPT Code (ZIP), 2012 Anesthesia Conversion Factor 0% Update (ZIP), 2012 Anesthesia Base Units by CPT Code (ZIP), 2011 Anesthesia Base Units by CPT Code (ZIP), 2010 Anesthesia Base Units by CPT Code (ZIP), 2010 Anesthesia Conversion Factor 0% update, 2010 Anesthesia Conversion Factor 2.2% update, 2009 Anesthesia Base Units by CPT Code (ZIP), Appendix A of the State Operations Manual, pages 31-35 (PDF), Medicare Claims Processing Manual (Chapter 12; Physician/Nonphysician Practitioners) (PDF), Medicare National Correct Coding Initiative (NCCI) Edits, American Association of Nurse Anesthetists (AANA), Physicians, Nurses and Allied Health Professionals Open Door Forum, Help with File Formats Bundled (Never Bill Medicare or Beneficiary) CPT codes 01916-01936 describe anesthesia for radiological procedures. website belongs to an official government organization in the United States. THE LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. The formula to calculate the allowed amount for anesthesia is: (Base Units + Time [in units]) x CF = Anesthesia Fee Amount The base units assigned to anesthesia CPT codes and the annual anesthesia conversion factors are available at the CMS Anesthesiologists Center. The quality and cost performance categories will be equally weighted at 30% of the total MIPS score. The PSH Care Coordination improvement activity is now a High weighted improvement activity. bodies, lumbar or sacral, Thermal destruction of intraosseous basivertebral nerve,inclusive of all imaging guidance; each additional 2022 The CY 2022 Anesthesia Conversion Factor fees have been updated due to the Protecting Medicare and American Farmers from Sequestor Cuts Act. Pain management services subsequent to the date of insertion of the catheter for continuous infusion may be reported with CPT code 01996 for epidural/subarachnoid infusions and with E&M codes for nerve block continuous infusions. Promoting interoperability and Improvement Activities performance categories will maintain their respective 25% and 15% weights. (CPT code 01936 was deleted January 1, 2022.) If an epidural or peripheral nerve block injection (62320-62327 or 64400-64530 as identified above) for postoperative pain management is reported separately on the same date of service as an anesthesia 0XXXX code, modifier 59 or XU may be appended to the epidural or peripheral nerve block injection code (62320-62327 or 64400-64530 as identified above) to indicate that it was administered for postoperative pain management. and Plug-Ins, The anesthesia base units are unchanged for CY 2023. Laryngoscopy (direct or endoscopic) for placement of airway (e.g., endotracheal tube). Nerve stimulation for determination of level of paralysis or localization of nerve(s). (CPT code 92585 was deleted January 1, 2021.). Anesthesiology CPT Codes, Base Units/Calculation Code Units Code Units Code Units Code Units Code Units Code Units 00100 5 00520 6 00800 4 00950 5 01480 3 01852 4 00102 6 00522 4 00802 5 00952 4 01482 4 01860 3 . However, when performed by a different physician during the procedure, intra-anesthesia neurophysiology testing may be separately reportable by the second physician. For example, introduction of a needle or intracatheter into a vein (CPT code 36000), venipuncture (CPT code 36410), drug administration (CPT codes 96360-96377) or cardiac assessment (e.g., CPT codes 93000-93010, 93040-93042) shall not be reported when these procedures are related to the delivery of an anesthetic agent. Jurisdiction M Home Health and Hospice MAC, {"DID":"crita41cde","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"12-28-2022 09:06","End Date":"01-02-2023 16:00","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed Monday, January 2, 2023, in observance of New Year's Day. Audit reveals crisis standards of care fell short during pandemic. The major payer source, of course, is Medicaid. %%EOF 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, These are the anesthesia base units used to compute allowable amounts for anesthesia services under CPT codes 00100 to 01999. Read More + Item Details The AMA does not directly or indirectly practice medicine or dispense medical services. When you bill out codes 99151-99157, you enter this on the professional claim of the provider who performed the servicecorrect? 1. 2020 Base Units 2021 Base Units; . Since postoperative pain management by the operating physician is included in the global surgical package, the operating physician may request the assistance of an anesthesia practitioner if it requires techniques beyond the experience of the operating physician. anesthesia time units; do not add base units or modifier units to the time units. 94680-94690, 94770 (Expired gas analysis) (CPT code 94770 was deleted January 1, 2021), 99202-99499 (Evaluation and management). Modifier 33 is only recognized with Advance Care Planning (ACP) codes 99497-99498. CPT code 01996 may only be reported for management for days subsequent to the date of insertion of the epidural or subarachnoid catheter. A physician shall not separately report these services simply because HCPCS/CPT codes exist for them. 3. Anesthesia practitioners other than anesthesiologists and CRNAs cannot report E&M codes except as described above when a surgical case is canceled. We encourage practices to check their billing systems and coding software to ensure that crosswalk files are updated accordingly.