CPT's E/M section includes only one code for standby time. However limited choices does not ensure payment. Here are four areas to help you avoid leaving your claims hanging in the wings.
Code based on availability, not care Your first step in gearing up to submit a claim for standby service is to know what you are reporting and what you are not. Code 99360 does not represent patient care rather, it represents availability.
Document three important factors Even though CPT includes a standby code, many payers don't reimburse for the service. Thorough documentation of your provider's service is paramount as you might be faced with an appeal.
Double check times and locations Being able to report standby service depends on two more important factors: time and location. Your anesthesiologist must be in attendance for standby for at least 30 minutes and he must document that time. According to CPT, if the time is less than 30 minutes, you shouldn't report it separately. But then it is always a good idea to document patient care whether it is billable or not.