Local Anesthesia Base Unit Values

athenaCollector

This page allows you to customize the base units value assigned to an anesthesia service when a charge is created. Some providers may choose to use a schedule of base units other than the schedule provided by CMS, such as the schedule published by the American Society of Anesthesiologists (ASA) or a proprietary schedule.

 

On the Main Menu, click Settings > Billing. In the left menu, under Practice Links — Anesthesia, click Local Anesthesia Base Unit Values

 

 

 

  1. Display the Local Anesthesia Base Unit Values page: On the Main Menu, click Settings > Billing. In the left menu, under Practice Links — Anesthesia, click Local Anesthesia Base Unit Values.
  2. ASA Procedure Code — Enter an anesthesia CPT code.
  3. Base Unit Value — Assign a base unit value.
  4. Effective Date and Expiration Date — Enter a date range for the life of the base unit value (optional).
    Note: If no Effective Date is entered, the local base unit value is effective as of the date of data entry.
  5. Click Save. The new base value appears listed below. 

 

  1. Display the Fee Schedules page: On the Main Menu, click Settings > Billing. In the left menu, under Practice Links — Fee and Allowable Schedules, click Fee Schedules.
  2. Click edit procedure fees for the fee schedule.
    The Procedure Fees page appears.
  3. Procedure code lookup — Enter the CPT code, or click Show All.
    The Practice Procedure Code list appears.  
    The Base Unit Value column shows the updated local base unit value for all related CPT codes. Local base unit values are clearly marked "(local)" next to the base unit value.
    Note: To see all local base unit values for your practice, see the Local Anesthesia Base Unit Values page.

 

 

 

Local base unit values are referenced when an anesthesia charge is created and, when provided, will override the CMS relative weight of the charge. Anesthesia charges are calculated as follows:

 

(Base unit (Local or Global) + Time Units) * Anesthesia Unit Rate

 

When provided, the local base unit value is used to calculate the anesthesia units and then multiplied by the anesthesia unit rate maintained in the fee schedule.

 

 

CPT Procedure Code

Enter the CPT code that requires a local ASA mapping.
ASA Procedure Code

Enter the ASA procedure code field that should map to the CPT code entered above.
Effective Date

To limit the code mapping to a specific date range, enter an effective date for the mapping; otherwise, leave this field blank.
Expiration Date

To limit the code mapping to a specific date range, enter an expiration date for the mapping; otherwise, leave this field blank.

Column Headings
CPT Procedure Code

The CPT code that requires a local ASA mapping.
ASA Procedure Code

The ASA procedure code field that should map to the CPT code entered above.
Effective Date

The date the local mapping takes effect.
Expiration Date

The date the local mapping expires.

 

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