Anesthesia: Changes to 2021 Base Unit Values

changes to 2021 base unit values for anesthesia
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Listed below are the base unit value changes for anesthesia procedures
in CY 2021. We encourage practices to check their billing systems and coding software to ensure that crosswalk files are updated accordingly. We, at MSN Healthcare Solutions, wish you and your families a happy and healthy new year!

Surgical Descriptor2020 Base Units2021 Base Units
Flexor-plasty, elbow (eg, Steindler type advancement)35
Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement35
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft35
Biopsy, soft tissue of pelvis and hip area; superficial3/54/5
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater44/5
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm3/54/5
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); less than 5 cm3/54/5
Removal of foreign body, pelvis or hip; subcutaneous tissue3/54/5
Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular36/10

Removal of transvenous pacemaker electrode(s); dual lead system
36/10
Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber77/10

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age (includes fluoroscopic guidance, when performed)
8/103/8/10
Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older (includes fluoroscopic guidance, when performed)8/103/8/10
Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age6/83/8/10
Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, 6 years and older6/83/8/10
Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age6/83/8/10
Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age6/83/8/10
Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, 6 years and older6/83/8/10
Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report; with transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty56
Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report; with transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the stenting, and all angioplasty within the peripheral dialysis segment56
Ligation, internal jugular vein510
Ligation; external carotid artery510
Ligation; internal or common carotid artery510
Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield 5 10 clamp510
Ligation, major artery (eg, post-traumatic, rupture); neck510