7 Steps to Selecting the Correct Anesthesia Code

Fourth digit identifies presence and type of manifestation

Anesthesia coders may have to rely on several sources to fully understand the procedure and select an accurate anesthesia code. Check information in these seven places to ensure you report the right procedure code.

1. Anesthesia cover sheet (or charge sheet)
2. Complete anesthesia record
3. Operative (or surgical) report
4. Related consultation notes (history and physical, etc.)
5. Pathology report
6. Hospital medical record and codes
7. Nurses' notes

© Anesthesia & Pain Management Coding Alert