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Back  RFI # 827: 5010 837I anesthesia times

Formal vs. Informal Help Informal Formal

Submitter

Marlene Peek

Description

There is no ability to report anesthesia start and stop times in 4010A1 or 5010 837I format so is it permissible for a health plan or payer to require start and stop times for anesthesia? Is it allowable to send this information in the NTE segment, Claim note in loop 2300 or do you have any suggestions?

Response

The payer cannot require that the NTE be sent for anesthesia start/stop time.

Recommendation

The 837 workgroup recommends that the submitter bring this topic forward as a change request to the DSMO (Data Standards Maintenance Organization). The current UB Manual and 837I TR3 does not support anesthesia start/stop time. The link to the HIPAA DSMO web page is http://www.hipaa-dsmo.org/Main.asp.
Submission 8/4/2009
Status Date 9/14/2009
Status F - Final
Primary References
Document 005010X223
Section2
Page178
Set ID837I