TMPPM 2008 > Texas Medicaid Services > Physician > Procedures and Services

   
 

36.4.3.10 Multiple Procedures

When billing for anesthesia and other services on the same claim, the anesthesia charge must appear in the first detail line for correct reimbursement. Any other services billed on the same day must be billed as subsequent line items. Multiple surgical procedures billed on the same day by the same provider are subject to the multiple surgery guidelines.

When billing for multiple anesthesia services, TOS 7, performed on the same day or during the same operative session, use the procedure code with the higher RVU. For accurate reimbursement, apply the total minutes and dollars for all anesthesia services rendered on the a higher RVU code.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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