[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-388426-105":59,"doc-detail-388426-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-pain-management-coding-alert-follow-our-foolproof-ways-to-stop-hypothermia-coding-errors","Anesthesia & Pain Management - Coding Alert - Follow Our Foolproof Ways to Stop Hypothermia Coding Errors","","Anesthesia and pain management coding guidance focuses on using and documenting the add-on hypothermia code +99116 correctly. The article explains that the patient’s hypothermic state must be purposefully induced to satisfy the “utilization” wording, and that +99116 is reportable only with a comprehensive anesthesia code. It also clarifies when hypothermia is already included in other anesthesia codes and outlines documentation language needed to support proper reporting.",{"@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-pain-management-coding-alert-follow-our-foolproof-ways-to-stop-hypothermia-coding-errors/388426/",{"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-pain-management-coding-alert-follow-our-foolproof-ways-to-stop-hypothermia-coding-errors/388426.png","ImageObject",300,407,{"name":92,"@type":93},"Aldword","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-01","2026-09-25",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What does +99116 require to be reported correctly?","Question",{"text":112,"@type":113},"The patient’s hypothermic state must be purposefully induced (“utilization”), not incidental. It is an add-on code, so it can only be billed in conjunction with a comprehensive anesthesia code.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"When is it invalid to append +99116?",{"text":117,"@type":113},"When the base anesthesia code already includes hypothermia, such as certain heart procedures like 00561, or other codes where documentation/associated notes prohibit reporting +99116 together.",{"name":119,"@type":110,"acceptedAnswer":120},"How should documentation support coding +99116?",{"text":121,"@type":113},"Chart induced hypothermia explicitly using phrases such as “hypothermic state induced” or “temp reduced to [temperature] per surgeon request.” Simply noting temperatures or “warming” does not justify using +99116.","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},388426,1790695890,{"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":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"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":46,"preview_page_count":4},2336478940917,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Anesthesia & Pain Management  \nCoding Alert  \nYour practical adviser for ethically optimizing coding, payment, and efficiency in anesthesia and pain management practices  \n2009, Vol. 11, No. 11 (Pages 81-88)  \n\n| \u003Cbr>What’s Inside\u003Cbr>News Flash: Check Usage of 50, Add-Ons for Facet Injections....83 X Thank the OIG for clarified guidelines from CMS.\u003Cbr>Stimulate Your Pay With 2 SCS\u003Cbr>Coding Tips .............................83\u003Cbr>X Pair codes, count electrodes to jump-start your way to a healthier bottom line.\u003Cbr>Check That You Report the\u003Cbr>Right Neurostimulator.............84\u003Cbr>You Be the Coder   85\u003Cbr>X Choosing for Hybrid Maze\u003Cbr>Reader Questions\u003Cbr>Nerves Treated Dictate Wrist\u003Cbr>Block Code   84\u003Cbr>Precert, Notes Can Help With\u003Cbr>Multiple 64640 ........................85\u003Cbr>Denial for G0260? Make the\u003Cbr>Move to 27096   85\u003Cbr>Clarify Injection Type, Insertion\u003Cbr>Point for Epidural....................85\u003Cbr>Anesthesia Fee Includes\u003Cbr>Retrobulbar Block   86\u003Cbr>EGD + Colonoscopy = 1\u003Cbr>Anesthesia Code   86\u003Cbr>Educate MDs About How AD\u003Cbr>Hits Bottom Line   86\u003Cbr>Verify Reason for OR Return\u003Cbr>Before Coding .........................87\u003Cbr>Tag 00740 and 00810 for Most\u003Cbr>Gastro Procedures   87\u003Cbr>Central Line With SG Cath\u003Cbr>Depends on Placement ............88 | Follow Our Foolproof Ways to Stop Hypothermia Coding Errors Cold\u003Cbr>X 3 criteria signal +99116 isOK.\u003Cbr>Before you can capture qualifying circumstances pay for hypothermia, pay attention to certain documentation details and requirements. Checking the details in your provider’s notes and paying close attention to the applicable anesthesia code can help you ward off any fears of incorrect reporting.\u003Cbr>To find the code for hypothermia, you’ll need to flip to the back of your CPT book to “Qualifying Circumstances for Anesthesia.” The code you’ll focus on is +99116 (Anesthesia complicated by utilization of total body hypothermia [List separately in addition to code for primary anesthesia procedure]) .\u003Cbr>1. Ensure Hypothermia Is Induced\u003Cbr>Dissecting the hypothermia code descriptor tells you two important things about correctly reporting +99116:\u003Cbr>• The term “utilization” lets you know that the patient’s hypothermic state was induced (that is, on purpose), not incidental.\u003Cbr>• Because it’s an add-on code (designated by the “+” sign), you know you can report it only in conjunction with a comprehensive anesthesia code. That doesn’t mean it applies each time a chart mentions hypothermia, however.\u003Cbr>2. Bill +99116 When Hypothermia’s Not Inherent\u003Cbr>“There are certain anesthesia codes which include hypothermia,” Samantha Mullins, CPC, PMCC, MCS-P, ACS-AN, director of compliance with Medac Anesthesiology Billing Associates in Birmingham, Ala., taught in the national conference session “Qualifying Circumstances Coding, Physical Status, and Billing for Other Medical Services” for The Coding Institute.“Therefore, it’s invalid to append +99116,”she says.\u003Cbr>Simple to see: Hypothermia inclusion is obvious with some codes, such as 00561 (Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, younger than 1 year of age) . The code’s descriptor doesn’t spell it out, but the associated note does: “Do not report 00561 in conjunction with 99100, 99116, and 99135.”\u003Cbr>“Coders must remember that for most heart cases, hypothermia is already included in the base of the anesthesia code,” explains Judy A. Wilson, CPC, CPC-H, CPC-P, |\n| --- | --- |\n\n\n| CPC-I, CANPC, CMBSI, CMRS, business administrator | would take place during an aortic arch case as you cannot |\n| --- | --- |\n| for Anesthesia Specialists, PTR, in Virginia Beach. | clamp off because the patient would surely have a stroke, |\n| Harder to catch: Other anesthesia codes also include | for example,”Wilson says.“The temperature must be |\n| hypothermia, though it’s less clear. Check out these | brought down to about 18 degrees Centigrade and the |\n| examples: | patient is in hypothermic circu","cbCaiuExQgKc1gPi","https://ap.wps.com/l/cbCaiuExQgKc1gPi","pdf",273840,"English","# What’s Inside\n## Stop Hypothermia Coding Errors\n## Qualifying Circumstances for Anesthesia\n## Ensure Hypothermia Is Induced\n## Bill +99116 When Hypothermia’s Not Inherent\n## Encourage Good Documentation","[{\"question\":\"What does +99116 require to be reported correctly?\",\"answer\":\"The patient’s hypothermic state must be purposefully induced (“utilization”), not incidental. It is an add-on code, so it can only be billed in conjunction with a comprehensive anesthesia code.\"},{\"question\":\"When is it invalid to append +99116?\",\"answer\":\"When the base anesthesia code already includes hypothermia, such as certain heart procedures like 00561, or other codes where documentation/associated notes prohibit reporting +99116 together.\"},{\"question\":\"How should documentation support coding +99116?\",\"answer\":\"Chart induced hypothermia explicitly using phrases such as “hypothermic state induced” or “temp reduced to [temperature] per surgeon request.” Simply noting temperatures or “warming” does not justify using +99116.\"}]","Anesthesia & Pain Management - Coding Alert - Follow Our Foolproof Ways to Stop Hypothermia Coding Errors | PDF",1790303335]