Pre and post anesthetic service and eligible providers

Pre-anesthetic Evaluations and Post-operative Visits

MHCP uses the CMS list of base values, which were adopted from the relative base values established by the ASA. The base value for anesthesia services includes usual pre-operative and post-operative visits. No separate payment is allowed for the pre-anesthetic evaluation regardless of when it occurs unless the recipient is not induced with anesthesia because of a cancellation of
the surgery. 

If an anesthetic is not administered due to a cancellation of the surgery, the anesthesiologist or the independent CRNA may bill an E/M CPT code that demonstrates the level of service performed.

Eligible Providers

Anesthesiologists (MDA)

Certified Registered Nurse Anesthetist (CRNA). CRNAs must enroll and sign a provideragreement in order to be eligible for reimbursement.

Physicians (MDs) under limited conditions as described in the sections on conscious sedation and deep sedation.