Anesthesia CPT Codes: 2022

2022 Anesthesia CPT Codes changes 2022
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New Anesthesia CPT Codes for 2022

There were several changes to the code set for Anesthesia this year.

Deletions

First, we’ll start with the deletions. Codes 01935 and 01936 have been removed and are no longer valid for most payers.

This means that their submission will most likely result in a denial. These codes represent Anesthesia for Spinal Injection procedures (i.e., Chronic Pain) and are outlined below.

Deleted Anesthesia Codes

  • 01935 Anesthesia for percutaneous image guided procedures on the spine and spinal cord; diagnostic (5 base)
  • 01936 Anesthesia for percutaneous image guided procedures on the spine and spinal cord; therapeutic (5 base)

New Anesthesia Codes

In their place are 6 new (more granular) codes. Ideally, you should have begun submitting these to payers on January 1st.

However, if your billing and/or coding platform wasn’t updated in time, you can always run a report to identify such cases, so that you’re able to resubmit corrected claims.

As you’ll notice, anesthesia providers effectively lost one base unit per case on most of these procedures, due to revaluation.

New Anesthesia Codes

  • 01937 Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; cervical or thoracic (4 base)

  •  01938 Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; lumbar or sacral (4 base)

  • 01939 Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; cervical or thoracic (4 base)

  • 01940 Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; lumbar or sacral (4 base)

  • 01941 Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; cervical or thoracic (5 base)

  • 01942 Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; lumbar or sacral (5 base)

New Anesthesia Flat Fee Codes

There were also two new neurolytic procedure codes and one new TEE code added for reporting. These are “flat fee”, non-time-based procedures.

New Flat Fee Codes

  • 64628 Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral

  • + 64629 Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure)

  • 93319 3D echocardiographic imaging and postprocessing during transesophageal echocardiography, or during transthoracic echocardiography for congenital cardiac anomalies, for the assessment of cardiac structure(s) (eg, cardiac chambers and valves, left atrial appendage, interatrial septum, interventricular septum) and function, when performed (List separately in addition to code for echocardiographic imaging)   

Medicare Modifiers

Lastly, Medicare introduced two new Evaluation and Management modifiers that could potentially affect Anesthesia billing.

Modifier “FS” is now required when a physician and employed non-physician practitioner combine to perform and document a facility visit.

Modifier “FT” is now required to be paid for critical care services on the same day as another billed service, under the same TIN. This seems to apply mainly to hospital-employed providers.

New Medicare Modifiers

  • FS Split or shared evaluation and management visit (append to claims for split/shared encounters in a facility setting)

  • FT Unrelated evaluation and management visit during a postoperative period, or on the same day as a procedure or another E/M visit (Report when an E/M visit is furnished within the global period but is unrelated, or when one or more additional E/M visits furnished on the same day are unrelated)

Hal Nelson, Vice President Anesthesiology Services

Hal Nelson, CANPC
has 30 years experience on both the payer and RCM side, with a focus in Anesthesia. He formerly worked as a senior claims approver at United Healthcare, as well as a compliance officer for multiple national billing companies. He has also taught the CPC coding curriculum collegiately in Atlanta. His broad based experience ensures that MSN clients will have a resource for documentation and billing issues. His past speaking engagements include ASA, MGMA, Dartmouth, and Johns Hopkins. 

This educational guide was prepared as a tool to provide education for documentation and coding. It is not intended to affect clinical treatment patterns. The material provided is for informational purposes only. Efforts have been made to ensure the information within this document was accurate on the date of distribution. Reimbursement policies vary from insurer to insurer and the policies of the same payer may vary within different U.S. regions. All policies should be verified to ensure compliance. CPT® codes, descriptions and other data are copyright of the American Medical Association (or such other date of publication of CPT®).All Rights Reserved. CPT® is a registered trademark of the American Medical Association. Proprietary and confidential document.  All rights reserved. No part of this document may be reproduced or used in any manner without the written permission of MSN Healthcare Solutions, LLC.