TMPPM 2009 > Texas Medicaid Services > Physician > Procedures and Services

36.4.3.4 Claim Filing

Texas Medicaid reimburses anesthesiologists based on TEFRA. Anesthesiologists must identify the following information on their claims:

•Procedure performed (CPT anesthesia code in Block 24 of the CMS-1500 claim form).

•Person (physician or CRNA) administering anesthesia (modifiers must be used to designate this provider type).

•Time in minutes.

•Any other appropriate modifier (refer to "Modifiers" for a list of the most common modifiers).