Haw. Code R. § 16-23-110 - Anesthesia services
(a) A base unit is
listed for all procedures in the medical fee schedule in accordance with
section
16-23-115.
This includes the base unit of all anesthesia services except the value of the
actual time spent administering the anesthesia or in unusual detention with the
patient.
(b) As allowed under
Medicare, the anesthesia charges are equal to the sum of the base and time
units for the service multiplied by a geographical adjusted anesthesia-specific
conversion factor.
(c) The total
value for anesthesia services includes pre- and post-operative visits, the
administration of the anesthetic, and the administration of fluids and blood
incident to the anesthesia or surgery.
(d) The time units are computed by dividing
the total anesthesia time by fifteen minutes.
(e) Calculated values for anesthesia services
shall be used when the anesthesia is administered by an appropriately licensed
health care provider and a fee shall be paid only for the individual anesthetic
service.
(f) If the general or
regional anesthetic is administered by the attending health care provider, the
value shall be fifty per cent of the calculated value.
(g) A separate charge may be made for
necessary drugs and materials provided by the health care provider or
anesthetist in accordance with section
16-23-114.
(h) When unusual detention with the claimant
is essential for the safety and welfare of the claimant, the necessary time
will be valued on the same basis as indicated for anesthesia time.
(i) No additional fee shall be allowed for
local infiltration or digital block anesthesia administered by the operating
physician.
(j) When either a
hypothermia or a pump oxygenator, or both, are employed in conjunction with an
anesthetic, the anesthetic "basic" value will be equal to that of procedure
code 00560.
(k) Where anesthesia is
administered for dental services, if the above rules are not applicable, a fee
equal to that of the procedure code 00122 for inhalation anesthesia and equal
to that of procedure code 00102 by an intravenous route will be allowed.
Notes
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