Here are the top 10 billed anesthesia procedures with the highest denial rates according to a report from RemitDATA.
The procedures are ranked from highest to lowest denial rates.
1. 64493: Injections, diagnostic or therapeutic agent, paravertebral facet (Zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level—12 percent
2. 00740: Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum—11 percent
3. 64483: Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, single level—11 percent
4. 00810: Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum—10 percent
5. 01967: Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarachnoid needle placement and drug injection and/or any necessary replacement of an epidural catheter during labor)—10 percent
6. 00142: Anesthesia for procedures on eye; lens surgery—9 percent
7. 99214: Office or other outpatient visit for the evolution and management of an established patient, which requires at least two of these three key components: a detailed history; a detailed examination; medical decision making of moderate complexity—9 percent
8. 00790: Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise specified—8 percent
9. 00840: Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specified—8 percent
10. 62311: Injection(s), of diagnostic or therapeutic substance(s) (including anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, includes contrast for localization when performed—7 percent
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The procedures are ranked from highest to lowest denial rates.
1. 64493: Injections, diagnostic or therapeutic agent, paravertebral facet (Zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level—12 percent
2. 00740: Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum—11 percent
3. 64483: Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, single level—11 percent
4. 00810: Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum—10 percent
5. 01967: Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarachnoid needle placement and drug injection and/or any necessary replacement of an epidural catheter during labor)—10 percent
6. 00142: Anesthesia for procedures on eye; lens surgery—9 percent
7. 99214: Office or other outpatient visit for the evolution and management of an established patient, which requires at least two of these three key components: a detailed history; a detailed examination; medical decision making of moderate complexity—9 percent
8. 00790: Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise specified—8 percent
9. 00840: Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specified—8 percent
10. 62311: Injection(s), of diagnostic or therapeutic substance(s) (including anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, includes contrast for localization when performed—7 percent
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