(精编)【高血压英文教学精品课件】 Anesthesia.pptVIP

2007 – PMCCAnesthesiaChapter 18 Chapter Outline Introduce students to Forms of anesthesia Anesthesia guidelines Anesthesia modifiers Anesthesia Guidelines Anesthesia service includes Usual preoperative and postoperative visits Administration of the anesthetic for the site of surgery Anesthesia care during the procedure Administration of fluids and/or blood replacement Interpretation of noninvasive monitoring (blood pressure, ECG, temperature, oximetry, apnography, and mass spectrometry) Time Key element for reimbursement Starts when anesthesiologist begins preparing patient in OR Ends when anesthesiologist no longer in personal attendance and patient is safely placed under postoperative supervision Anesthesia Guidelines Time continued May be reported in units based on defined time increments Most common is 15 minutes (1 unit for each 15 minutes) Medicare requires time reported in actual minutes, not units Anesthesia provided during multiple surgical procedures Reported by listing the anesthesia cod with highest base unit value and reporting total time of all procedures Separate payment allowed for selected services in conjunction with anesthesia or unrelated procedure Insertion of Swan-Ganz catheter (93503) Central venous pressure line (36555-36597) Arterial line (36620-36625) CPT Modifiers 22—Unusual Procedural Services 23—Unusual Anesthesia (Identifies a procedure that usually requires no anesthesia or local anesthesia. Under unusual circumstances, general anesthesia is required) 32—Mandated Services 51—Multiple Services 53—Discontinued Procedure 59—Distinct Procedural Service (Identifies certain circumstances when a physician may need to indicate that a procedure/service was distinct or independent from other services performed on the same day) HCPCS Level II Modifiers AA—Anesthesia service performed personally by anesthesiologist AD—Medical supervision by a physician: more than four concurrent anesthesia procedures G8—Monitored anesthesia care (MAC)