Anesthesia is billed by base units, time and modifiers, so small timing or modifier errors change payment.
Examples of frequently billed services, with billing notes from our coders.
| CPT code | Service | Billing note |
|---|---|---|
| 00142 | Anesthesia for eye lens surgery | Commonly paired with cataract cases |
| 00811 | Anesthesia for lower intestinal endoscopy, diagnostic | Colonoscopy anesthesia depends on the procedure intent |
| 00812 | Anesthesia for screening colonoscopy | Screening status must match the surgeon claim |
| 01402 | Anesthesia for knee replacement | Time-based with base units |
| 01961 | Anesthesia for cesarean delivery only | Add-ons may apply for labor epidural |
| 99100 | Added code for patients of extreme age | Qualifying circumstance add-on |
| 01996 | Daily management of a continuous epidural | Billed once per day |
Codes shown are common examples and descriptions are simplified in our own words. CPT® is a registered trademark of the American Medical Association. Always confirm against the current AMA CPT codebook, ICD-10-CM and each payer’s policy.
Modifiers tell the payer how and why a service was performed. Missing or wrong ones are a leading cause of denials.
Eligibility, benefits and prior authorization verified before the visit.
Code, modifier and documentation review before claims are submitted.
Denials corrected and appealed, aging claims worked until resolved.
Diagnostic testing, procedures and E/M claims coded correctly for each payer.
View billing detailsBiopsy, lesion removal and Mohs billing, with medical and cosmetic claims kept separate.
View billing detailsColonoscopy, endoscopy and screening claims coded for the right site and payer.
View billing detailsTalk to our team about your practice, hospital or lab. We will review your current billing and show you where revenue is slipping away.