Common Documentation Gaps Auditors See in Anesthesia Records As winter fades and spring begins, many of us start thinking about spring cleaning—clearing out clutter, organizing what matters, and making sure everything is in its proper place. The same concept applies to anesthesia documentation. For anesthesia coders, auditors, and compliance professionals, spring is a great time…

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One-lung ventilation (OLV) is a specialized anesthetic technique commonly used during thoracic surgical procedures to allow the surgeon access to the operative lung while the other lung continues to provide ventilation and oxygenation. For anesthesia coders, understanding how and when OLV is used helps clarify why certain anesthesia CPT codes apply—particularly ASA 00541. One-lung ventilation…

*Anesthesia for hernia repairs in the lower abdomen not otherwise specified; younger than 1 year of age   – 00834 Anesthesia for hernia repairs in the lower abdomen not otherwise specified; infants younger that 37 weeks gestation age at birth and younger than 50 weeks gestational age at time of surgery  –  00836

IntroductionThe sacroiliac (SI) joint is a well-recognized source of low back and buttock pain. Due to its complex anatomy and variable innervation, diagnosing SI joint–mediated pain can be challenging. Sacroiliac joint nerve blocks play a critical role in both diagnosing and treating this condition. CPT code 64451 was created to more accurately describe injections targeting…