Anesthesia for bone marrow aspiration or biopsy at the iliac crest

Description

This code represents anesthesia services provided during bone marrow aspiration or biopsy procedures. The procedures are performed at the anterior or posterior iliac crest, ensuring patient comfort and safety during the intervention.

Medicare Hospital Outpatient Reimbursement (OPPS)

OPPS Payment Rate

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Patient Copayment / Coinsurance

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Top Modifiers

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HCPCS/CPT QSMonitored anesthesia care (MAC) services by qualified providers(34.59%)

HCPCS/CPT AAAnesthesia services personally performed by anesthesiologist(25.55%)

HCPCS/CPT QXQualified non-physician anesthetist service with physician medical direction(24.9%)

HCPCS/CPT QKMedical direction of concurrent anesthesia procedures(22.18%)

HCPCS/CPT QZCRNA services without medical direction by a physician(18.33%)

HCPCS/CPT X4Episodic services provided by specialty-focused clinicians(11.18%)

HCPCS/CPT P3Anesthesia status modifier for patients with severe systemic disease(10.64%)

HCPCS/CPT QYMedical direction of one CRNA by an anesthesiologist(7.45%)

HCPCS/CPT P2Anesthesia status modifier for patients with mild systemic disease(4.08%)

HCPCS/CPT P4Anesthesia status modifier for patient with severe systemic disease(3.49%)

Code Crosswalks

No crosswalks found.

Alternate Codes

No alternates found.

Billed With Codes

No codes found here.

Sources

We make no claims to ownership of the coding systems referenced on this platform. Codes and descriptions are produced from claims and chargemaster data available through the CMS-9915-F Transparency in Coverage Final Rule and via state or federal datasets. This service is provided solely as a reference to encourage use of these codes in our chargemaster review and automated billing tools, so that healthcare professionals can understand and correctly report these codes in their claims.

Federal and State Datasets

List of CPT/HCPCS Codes, Centers for Medicare & Medicaid Services (CMS)
I/OCE Quarterly Release Files, Centers for Medicare & Medicaid Services (CMS)
Physician Fee Schedule Relative Value Files, Centers for Medicare & Medicaid Services (CMS)
OPPS Addendum B, Centers for Medicare & Medicaid Services (CMS)
ASC Payment Addenda, Centers for Medicare & Medicaid Services (CMS)