Articles  |   November 2019
Clarification to ‘Non-Operating Room Anesthesia (NORA): Humbug If NOT Careful’
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Airway Management / Critical Care / Practice Management / Articles
Articles   |   November 2019
Clarification to ‘Non-Operating Room Anesthesia (NORA): Humbug If NOT Careful’
ASA Monitor 11 2019, Vol.83, 57.
ASA Monitor 11 2019, Vol.83, 57.
Members of the ASA Committee on Economics would like to clarify language that was printed in the article “Non-Operating Room Anesthesia (NORA): Humbug If NOT Careful” in the September 2019 ASA Monitor. There was concern that the statement highlighted below gives the impression a proceduralist can use QZ billing to bill for a concurrent anesthesia service, which is misleading. The following is excerpted from the article:
Some basic tenets are as follows:
The committee would like to clarify that statement in the following way:
It is important to clarify that there are situations where the critical care anesthesiologist is also the proceduralist. For example, a percutaneous tracheostomy performed by an intensivist (the critical care anesthesiologist). In this case, the tracheostomy would be reported as a procedure separate from critical care time. However, it must be clarified that in this scenario, the anesthesiologist may not direct or supervise a non-physician anesthetist providing anesthesia care. Reporting that anesthesia care with a QZ modifier does not change this.
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