NextGen Knowledge Center

Enter Anesthesia Charges

To enter an anesthesia charge, do the following:

  1. Open NextGen® Enterprise PM.
  2. Select Charges.
    The Charge Posting window opens.
  3. Select the patient and the encounter.
  4. Select New.
  5. Select Surg Proc, and then enter the SIM code for the surgical billing.
  6. To enter anesthesia charges, select Anesthesia Library for the practice in Practice Preferences > Libraries, and clear Advanced Service Item Library Mode in Enterprise Preferences > Libraries and do the following:
    1. Enter the surgical procedure code in the Surg Proc field. Surg Proc description, Svc Item, Svc Item Description, CPT4, and Modifiers fields are automatically entered. Surg Proc is a required field.
    2. Select the service item for the encounter from the Svc Item list. It is a required field. Anesthesia codes mapped to the Surgical Procedure code are available for selection.
    3. Enter the Anesthesiologist or the directing MD who is engaged in the case in the MD Anesthesia field.
    4. Enter the time the anesthesia starts in the Start Time field.
      10:00 AM or 1000. You can enter the time in 24-hour time.
    5. Enter the time the anesthesia stops in the Stop Time field.
      2:00 PM or 1400. You can enter the time in 24-hour time.
    6. Change the Start Time and Stop Time if you want to change the Total Time.
    7. Enter the base unit value in the Base Unit field to display the base unit value entered for the SIM code in the Service Item library or the ASA Crosswalk library.
    8. Enter the Alt Code in the Alt Code field to print the anesthesia code on the claim. If you enter the Alt Code field, the field’s value overrides the CPT4 and is used for both paper and electronic claims.
  7. Select Save.
  8. To document information about the case, select the Anesthesia Service Information icon on the charge posting toolbar.
    The Anesthesia Service Information window opens.

  9. Select Type Of Anes., and then select the type of anesthesia from the list.
  10. Select Phys. Status, and then select the physical status modifier from the list.
  11. Select Med. Direction, and then select the medical direction from the list.
  12. Select Present at Induction to indicate the presence of Medical Doctor of Anesthesiology at the time of anesthesia.
  13. Select Exempt from Concurrency to exclude the providers.
  14. In the Additional Procedures section, the application automatically fills the data from the selected encounter charges.
  15. Select OK.
  • Anesthesia Service Information To add information about the patient case, enter the anesthesia service information fields on the Anesthesia Service Information window.