It is my understanding that CPT has adopted some, but not all, ASA codes.
Therefore, the codes that are not adopted into CPT will be considered
non-standard or local codes and not usable on a HIPAA transaction.
Doug
----- Forwarded by Doug Renshaw/OPERATIONS/CORP/Highmark on 05/13/02 02:50
PM -----
Jan Root
<janroot@uhin. To: [EMAIL PROTECTED]
com> cc: "'[EMAIL PROTECTED]'"
<[EMAIL PROTECTED]>
Subject: Re: ASA Homegrown Codes
05/13/02 02:30
PM
I could easily be incorrect, but I thought ASA codes were listed in the
front of the CPT book as being part of CPT codes....? I don't have a CPT
book here to check this though. If they are part of CPT, then they are
HIPAA compliant.
Jan Root
"Ratayski, Dawn" wrote:
> Lisa,
>
> Your assumptions are correct, the codes must become part of a valid
medical
> code set , such as CPT4, to be valid as per HIPAA.
>
> Our plan will only accept HIPAA compliant codes. Since the codes are not
> valid HCPCS, CPT4, ICD9, or CDT3 codes, they would not be acceptable and
> would be denied as invalid.
>
> -----Original Message-----
> From: Sweeney, Lisa [mailto:[EMAIL PROTECTED]]
> Sent: Monday, May 13, 2002 9:36 AM
> To: '[EMAIL PROTECTED]'; '[EMAIL PROTECTED]'
> Subject: ASA Homegrown Codes
>
> As you may be aware most anesthesiologists use the ASA (American Society
of
> Anesthesiologists) Relative Value Guide and ASA Crosswalk reference
guides
> as their source for coding the
> services they provide to our members. Our health plan has discovered 3
new
> ASA homegrown codes not published in the 2002 CPT book - 00326, 00834,
> 00836.
>
> I am assuming that per HIPAA ASA codes are no longer the accepted
standard.
> The ASA must get their codes adopted by the AMA as a CPT. How are other
> health plans handling ASA homegrown codes? Are you rejecting these codes
> presently?
>
> Lisa Sweeney
> Database Administration Analyst
> Coventry Healthcare
> Cranberry Business Park
> phone: (724) 778-6454
> Toll free: (800) 735- 2202
>
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