Anesthesia changes in 2018

If your group performs anesthesia for upper or lower GI endoscopy (00740 and 00810), start thinking now about the codes you'll report in 2018. Here are the new descriptors, with placeholder codes and CMS' proposed base unit values.

007X1 (Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified) - 5

007X2 (Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; endoscopic retrograde cholangiopancreatography [ERCP]) - 6

008X1 (Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified) - 4

008X2 (Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy) - 3

008X3 (Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum) - 5

The codes and proposed base units were previewed in Medicare's proposed 2018 physician fee schedule. The codes will be released in your 2018 CPT manual. Medicare's base units will be released in the final physician fee schedule. Practices that disagree with the proposed base units should submit comments by Sept. 11.

If you're coming to the conference in Las Vegas, Devona Slater will do a presentation on the new codes. Hope to see you there.  

Sign In or Register to comment.