5010 Special Information Requirement Will Not Apply to “Not Otherwise Specified” Anesthesia Codes

The American Society of Anesthesiologists has worked with X12, the body charged with developing and maintaining standards used for electronic claims standards, and agreed that anesthesia codes that include the phrase “not otherwise specified” do not meet the definition of a non-specific code, according to an ASA release.

Because of this, the 5010 special information requirement that applies to non-specific codes would not apply to CPT codes 00100 through 01996. CPT code 01999 “unlisted anesthesia procedures” does meet the definition of a non-specific code and requires additional information in the SV101-7 segment.

CMS advises that any data submitted in SV101-7 will satisfy the edit for Medicare claims until the edit revisions have been made.

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