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HIPAA: HIPAA 5010 Anesthesia Billing Update

November 12, 2012

Providers who bill electronically for anesthesia in ASC X12N 5010 837P transactions are required to submit in minutes, as units are no longer accepted. In addition, start and stop times are no longer required. There are no changes to billing anesthesia via paper claims and submission and processing continue as before.

For electronic billing information providers can refer to the Medi-Cal Computer Media Claims (CMC) Billing and Technical Manual from the CMC Web page of the Medi-Cal website.