CPT code 01930 is used for anesthesia services during therapeutic interventional radiology procedures involving veins.
CPT code 01930 is used to describe anesthesia services provided during therapeutic interventions on the veins under radiological guidance. This code is typically utilized when a patient undergoes a procedure that involves the use of imaging technology to guide the therapeutic intervention on veins, and anesthesia is required to ensure patient comfort and safety during the procedure. The code helps in accurately billing for the anesthesia services associated with such interventions, ensuring that healthcare providers are reimbursed appropriately for their expertise and resources.
For CPT code 01930, which pertains to anesthesia services for therapeutic interventional radiological procedures involving veins, the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services: This modifier is used when the work required to provide the service is substantially greater than typically required. Documentation must support the substantial additional work and the reason for it.
2. Modifier 23 - Unusual Anesthesia: This modifier is applicable when a procedure that usually requires no anesthesia or local anesthesia must be performed under general anesthesia due to unusual circumstances.
3. Modifier 47 - Anesthesia by Surgeon: This is used when the surgeon administers regional or general anesthesia to the patient. It is not applicable for local anesthesia.
4. Modifier 59 - Distinct Procedural Service: This modifier is used to indicate that a procedure or service was distinct or independent from other services performed on the same day. It is used to identify procedures/services that are not normally reported together but are appropriate under the circumstances.
5. Modifier 76 - Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional: This is used when a procedure or service is repeated by the same provider subsequent to the original procedure or service.
6. Modifier 77 - Repeat Procedure by Another Physician or Other Qualified Health Care Professional: This is used when a procedure or service is repeated by a different provider subsequent to the original procedure or service.
7. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: This is used when a related procedure is performed during the postoperative period of the initial procedure.
8. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: This is used when an unrelated procedure is performed by the same physician during the postoperative period.
9. Modifier AA - Anesthesia Services Performed Personally by Anesthesiologist: This modifier is used to indicate that the anesthesia services were personally performed by an anesthesiologist.
10. Modifier QK - Medical Direction of Two, Three, or Four Concurrent Anesthesia Procedures Involving Qualified Individuals: This is used when an anesthesiologist is medically directing two to four concurrent anesthesia procedures.
11. Modifier QS - Monitored Anesthesia Care Service: This indicates that the service provided was monitored anesthesia care.
12. Modifier QX - CRNA Service: With Medical Direction by a Physician: This is used when a Certified Registered Nurse Anesthetist (CRNA) provides anesthesia services under the medical direction of a physician.
13. Modifier QY - Medical Direction of One Certified Registered Nurse Anesthetist (CRNA) by an Anesthesiologist: This indicates that an anesthesiologist is medically directing one CRNA.
14. Modifier QZ - CRNA Service: Without Medical Direction by a Physician: This is used when a CRNA provides anesthesia services without the medical direction of a physician.
These modifiers help provide additional information about the circumstances under which the anesthesia service was provided, ensuring accurate billing and reimbursement.
The CPT code 01930 is subject to reimbursement considerations under Medicare, specifically through the Medicare Physician Fee Schedule (MPFS). Whether this code is reimbursed by Medicare depends on several factors, including its inclusion in the MPFS and the specific policies of the Medicare Administrative Contractor (MAC) that processes claims in your region.
To determine if CPT code 01930 is reimbursed, healthcare providers should first consult the MPFS to verify if the code is listed and the associated reimbursement rate. Additionally, it is crucial to check with the local MAC, as they may have specific guidelines or coverage determinations that affect reimbursement for this code. MACs are responsible for interpreting national Medicare policies and may have regional variations in how they process claims for certain services.
Therefore, while CPT code 01930 may be reimbursed by Medicare, it is essential to confirm its status on the MPFS and consult with the relevant MAC to ensure compliance with all applicable billing and coverage requirements.
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