Chart Talk ~ Anesthesia Coding Conversations

Anesthesia Coding • Auditing • Compliance • Education

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Hi! My name is Dianne C. Moseley, CPC, CPCO, CPMA, CANPC, creator of Chart Talk ~ Anesthesia Coding Conversations. I am a healthcare professional with more than 32 years of experience in revenue cycle management and 15 years focused specifically on anesthesia coding, auditing, compliance, and education. Throughout my career, I have worked across multiple areas of the revenue cycle, giving me a broad understanding of how documentation, coding, compliance, and reimbursement work together. My passion has always been education—taking complicated coding concepts and making them easier to understand and apply in the real world. That passion is what led to the creation of Chart Talk. What began as a place to have conversations about anesthesia coding is growing into a comprehensive educational resource for anesthesia coders, auditors, educators, and compliance professionals. Chart Talk brings together practical coding guidance, anatomy-based education, documentation and compliance resources, auditing insights, quick-reference guides, educational series, and real-world discussions about the challenges we encounter every day in anesthesia coding. My goal is not simply to provide an answer to a coding question, but to encourage coders to understand why an answer is correct—by learning the anatomy, reviewing the documentation, researching authoritative guidance, and developing the confidence to make well-supported coding decisions. Welcome to Chart Talk ~ Anesthesia Coding Conversations — where we learn, question, research, and grow together.

Chart Talk Blog

Welcome to the Chart Talk Blog — a place for conversations about anesthesia coding, auditing, documentation, compliance, anatomy, and the real-world challenges coding professionals encounter every day. Explore recent articles, educational series, coding discussions, and practical insights designed to help us continue learning together.

Latest from Chart Talk

  • Week 1 – May 2026 Liver Biopsy

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  • Salivary Glands & Ducts

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  • Anesthesia Claim Denial

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  • Do You Tab and Prep Your Coding Manuals?

    If you have ever looked at a seasoned coder’s manuals, you may notice something immediately — tabs everywhere, sticky notes, highlights, and handwritten reminders in the margins. And if I’m being honest… my books are full of notes. Sometimes I even catch myself wondering:“Did I add too much?” But for me, those notes serve an important purpose.…

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  • As We Begin a New Week… Let’s Talk Anesthesia Coding Challenges

    As we begin a new week in anesthesia coding, I wanted to ask a question. Which area of anesthesia coding are you currently struggling with? Is it: The truth is — every coder has areas that challenge them. Even experienced anesthesia coders run into cases that make them pause and ask: “Wait… what exactly happened in…

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  • Links to Anesthesia Resources

    American Society of Anesthesiologists http://www.asahq.org/ https://www.asahq.org/standards-and-practice-parameters American Association of Nurse Anesthetist http://www.aana.com/ American Academy of Anesthesia Assistants http://www.anesthetist.org/ CMS Anesthesiologist Center (links to NCCI and CMS On-line Anesthesia Guidelines, Chapter 12 Section 50) https://www.cms.gov/center/anesth.asp

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  • Chart Talk Coding Scenarios

    Orthopedic Cases for Anesthesia Coders Scenario 1: Total Knee Replacement Clinical Scenario A 72-year-old patient with severe osteoarthritis undergoes a total knee arthroplasty. The anesthesiologist provides spinal anesthesia with sedation.The procedure lasts 2 hours and 10 minutes. The patient has the following conditions: The anesthesiologist personally performs the anesthesia service. Questions Scenario 2: Shoulder Arthroscopy with Rotator Cuff…

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  • When Expertise Meets Doubt: Talking About Imposter Syndrome

    Even after decades in healthcare, I still occasionally catch myself thinking: “Am I really qualified to be teaching this?” “What if someone asks a question I don’t know?” “Do I really belong in this space?” That voice has a name: imposter syndrome. And if you work in medical coding, auditing, compliance, or revenue cycle management,…

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  • Having a little fun with AI

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  • Test Your Anesthesia Coding Knowledge

    Put your skills to the test! Review the scenarios below and choose the best answer based on anesthesia coding guidelines. Question 1 A patient undergoes a screening colonoscopy. The anesthesia provider administers monitored anesthesia care. Which ASA anesthesia code is most appropriate?A. 00811B. 00812C. 00813D. 00790 Question 2 An anesthesiologist medically directs one CRNA during…

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