Regulations
9789.18.5....Anesthesia - Medically Supervised Rate | |
Only three base units per procedure is allowed when the anesthesiologist is involved in furnishing more than four procedures concurrently or is performing other services ...more | |
9789.18.6....Anesthesia - Multiple Anesthesia Procedures | |
(a) Physicians and non-physician practitioners shall bill for the anesthesia services associated with multiple bilateral surgeries by reporting the anesthesia procedure ...more | |
9789.18.7....Anesthesia - Medical and Surgical Services Furnished in Addition to Anesthesia Procedure | |
Payment may be made under the fee schedule for specific medical and surgical services furnished by the anesthesiologist as long as these services are reasonable and ...more | |
9789.18.8....Anesthesia - Time and Calculation of Anesthesia Time Units | |
(a) Anesthesia time is defined as the period during which an anesthesia practitioner is present with the patient. It starts when the anesthesia practitioner begins to ...more | |
9789.18.9....Anesthesia - Base Unit Reduction for Concurrent Medically Directed Procedures | |
If the physician medically directs concurrent medically directed procedures, reduce the number of base units for each concurrent procedure as follows. Â (a) For two ...more | |
9789.19....Update Table | |
...more | |
9789.20....General Information for Inpatient Hospital Fee Schedule - Discharge on or After July 1, 2004 | |
(a) This Inpatient Hospital Fee Schedule section of the Official Medical Fee Schedule covers charges made by a hospital for inpatient services provided by the hospital. ...more | |
9789.21....Definitions for Inpatient Hospital Fee Schedule | |
 (g) âCost-to-charge ratioâ means the sum of the hospital specific operating cost-to-charge ratio and the hospital specific capital cost-to-charge ratio. ...more | |
9789.22....Payment of Inpatient Hospital Services | |
(A) Unless otherwise provided, except for inpatient services provided by a hospital transferring an inpatient to another hospital or post-acute care provider in ...more | |
9789.23....Hospital Cost to Charge Ratios, Hospital Specific Outliers, and Hospital Composite Factors | |
For discharges on or after January 1, 2004, hospital cost to charge ratios, hospital specific outliers, and hospital composite factors by date of discharge, are ...more | |