CMS recently released MLN (Medicare Learning Network) Matters® Number: MM8874 to provide instruction on how to report anesthesia associated with screening colonoscopy and other preventative and screening services for which deductible/co-pay have been waived starting in 2015. When reporting anesthesia in conjunction with procedure code G0105 and G0121, remember to append Modifier 33 - Preventative Services - to anesthesia code 00810 when the service qualifies for waiver of the deductible/co-pay. The MLN piece is available at http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8874.pdf
As part of the proposed FY 2015 Medicare Fee Schedule, ASA supported the proposal by the Centers for Medicare and Medicaid Services (CMS) to classify anesthesia for a screening colonoscopy as an essential benefit. ASA recommended that physicians be permitted to bill for the service using the current base + time payment methodology. CMS subsequently finalized that proposal and will start to implement it on January 1, 2015.