Question: this type of coding is based on the services recorded...
This type of coding is based on the services recorded in the anesthesia record. The record contains preoperative notes, intraoperative notes, and postanesthesia care unit documentation. Preoperative notes cover the patient's medical and surgical history, history of anesthetic complications, current medications, and respiratory condition, and the chosen anesthesia. Postanesthesia care unit (PACU) documentation record the monitoring of the patient for immediate postoperative complications. Intraoperative notes reflect the monitoring of the patient during the procedure.
In addition to the anesthesiologist's document in the anesthesia record, what other document or documents do you feel that the coder can review to allow the coder to sequence the highest paying procedure first on the claim?