[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-388422-105":59,"doc-detail-388422-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","anesthesia-care-not-typically-required","Anesthesia Care Not Typically Required","","A Timely Topic article explains the ASA CROSSWALK designation “Anesthesia Care Not Typically Required (ACNTR)” and the editorial logic used to determine when an anesthesia CPT code is unlikely to be reported for a given diagnostic or therapeutic CPT procedure. It describes how the CROSSWALK is updated annually, aligned with current AMA CPT and ASA Relative Value Guide editions, and how medical necessity should be documented when ACNTR-labeled procedures still require skilled anesthesia care.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/anesthesia-care-not-typically-required/388422/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/anesthesia-care-not-typically-required/388422.png","ImageObject",300,407,{"name":92,"@type":93},"Mary Man","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-04","2026-09-25",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What does “Anesthesia Care Not Typically Required” (ACNTR) mean in the ASA CROSSWALK?","Question",{"text":112,"@type":113},"It indicates instances where an anesthesia service is unlikely to be provided to facilitate the performance of the procedure described by a specific CPT code.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How does the ASA CROSSWALK maintain accuracy across coding updates?",{"text":117,"@type":113},"It is updated annually by an ASA economics workgroup, incorporating new CPT procedure codes, deleting removed codes, reviewing description changes, and performing rolling reviews to cover the CROSSWALK at least once every five years.",{"name":119,"@type":110,"acceptedAnswer":120},"When ACNTR procedures still require anesthesia, what should be documented?",{"text":121,"@type":113},"The records should document why anesthesia care is medically necessary, and where possible include ICD-10-CM diagnosis codes that support that necessity.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},388422,1791113129,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24,"preview_page_count":4},7421720224475,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","November 2016  \nAnesthesia Care Not Typically Required  \nby  \nA F Strobel, MD MBA CPC  \nThis ASA Timely Topic is being written to elucidate a commonly questioned reference that is designated in the annually published ASA CROSSWALK® as “Anesthesia Care Not Typically Required”(ACNTR) and to explain the logic used by the editorial panel in its determination.  \nThe ASA CROSSWALK, for those members who do not code their own claim submissions or are unaware of the ASA’s unrelenting commitment to correct coding, is a comprehensive guide that is published annually that identifies the anesthesia CPT® code (00100-01999), and alternate codes when appropriate, that most specifically describes the anesthesia service for a particular diagnostic or therapeutic CPT procedure code.  \nThe ASA CROSSWALK is updated annually by an ASA Committee on Economics (COE) workgroup. New CPT procedure codes for the upcoming year are added along with the relevant anesthesia codes that should be considered when reporting anesthesia for those procedures. Any CPT codes that have been deleted from the AMA CPT Manual are similarly deleted from the ASA CROSSWALK. Also, any codes whose descriptions have been modified by the AMA CPT Editorial Panel are reviewed to determine whether those revisions change the anesthesia code that would typically be reported to describe anesthesia for that procedure. In addition, this COE workgroup performs a “rolling review” of a portion of the CROSSWALK such that the CROSSWALK is reviewed in its entirety at least once every five years.  \nThe ASA CROSSWALK is meant to be used in conjunction with the present year’s corresponding AMA CPT publication and ASA Relative Value Guide® (RVG™) . The ASA Relative Value Guide lists all anesthesia CPT codes and other CPT codes commonly reported by anesthesiologists, along with their base unit values and the appropriate use of time. Use of older versions of the ASA RVG or AMA CPT may lead to incorrect coding, claim denials or subsequent recoupment of payments. As such, it is important to use the editions that correspond to the year the service is provided.  \nSome CPT codes do not have an anesthesia code associated with them. In some such instances, the designation “Anesthesia Care Not Typically Required” is noted. The use of this designation is reserved for those instances in which it is unlikely that an anesthesia service would be provided to facilitate the performance of the procedure described by that  \nCPT code. In some cases the use of anesthesia services would be rarely be required.  \nHowever, as stated in the Introduction to the ASA CROSSWALK, “[i]t is important to note that  \nconditions may exist which make skilled anesthesia care necessary for procedures not normally requiring such care. Major co-morbidities and mental or psychological impediments to cooperation are examples of such conditions. Pediatric patients may require anesthesia care when adult patients would not.” When reporting anesthesia services for a procedure that is designated as “Anesthesia Care Not Typically Required”, it is good practice to document why anesthesia care is medically necessary in the medical records and, if possible, include ICD-10-CM diagnosis codes to support medical necessity of the anesthesia service.  \nUsers should be aware that at the front of the ASA CROSWWALK is a form on which suggestions for changes or additions to the next year’s edition of the CROSSWALK can be submitted to the CROSSWALK Editor. The CROSSWALK Editorial Panel encourages users with suggestions to forward them for consideration.","cbCaijE5oU2LlBn5","https://ap.wps.com/l/cbCaijE5oU2LlBn5","pdf",330010,"English","# Overview of ACNTR designation\n## How the ASA CROSSWALK is updated\n## When anesthesia may still be necessary\n## Medical record documentation and coding support\n## User feedback process","[{\"question\":\"What does “Anesthesia Care Not Typically Required” (ACNTR) mean in the ASA CROSSWALK?\",\"answer\":\"It indicates instances where an anesthesia service is unlikely to be provided to facilitate the performance of the procedure described by a specific CPT code.\"},{\"question\":\"How does the ASA CROSSWALK maintain accuracy across coding updates?\",\"answer\":\"It is updated annually by an ASA economics workgroup, incorporating new CPT procedure codes, deleting removed codes, reviewing description changes, and performing rolling reviews to cover the CROSSWALK at least once every five years.\"},{\"question\":\"When ACNTR procedures still require anesthesia, what should be documented?\",\"answer\":\"The records should document why anesthesia care is medically necessary, and where possible include ICD-10-CM diagnosis codes that support that necessity.\"}]","Anesthesia Care Not Typically Required | PDF",1790303327]