Situation 1:
A forty five-year-old affected person with a historical past of hypertension requires surgical procedure to restore a herniated disc within the lumbar area. The surgical procedure lasted 2 hours and 45 minutes, and the affected person had a qualifying circumstance of managed hypertension. The anesthesia supplier used common anesthesia.
Anesthesia codes used: 00560, 99100-QC
Calculation of base and time models:
The bottom unit worth for anesthesia code 00560 is 5.
The time unit worth for anesthesia code 00560 is 22, primarily based on the whole time of two hours and 45 minutes.
There are not any modifying circumstances.
The conversion issue is $23.79.
Anesthesia service fee method: (base models + time models) x conversion issue = reimbursement
Reimbursement for state of affairs 1: (5 + 22) x $23.79 = $644.05
Coding response: 00560, 99100-QC
Situation 2:
A 65-year-old affected person with a historical past of diabetes requires surgical procedure to take away a malignant tumor within the colon. The surgical procedure lasted 4 hours and quarter-hour, and the affected person had a qualifying circumstance of managed diabetes. The anesthesia supplier used common anesthesia.
Anesthesia codes used: 00810, 99116-QC
Calculation of base and time models:
The bottom unit worth for anesthesia code 00810 is 6.
The time unit worth for anesthesia code 00810 is 26, primarily based on the whole time of 4 hours and quarter-hour.
There are not any modifying circumstances.
The conversion issue is $23.79.
Anesthesia service fee method: (base models + time models) x conversion issue = reimbursement
Reimbursement for state of affairs 2: (6 + 26) x $23.79 = $748.28
Coding response: 00810, 99116-QC
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