[Code of Federal Regulations] [Title 42, Volume 2] [Revised as of October 1, 2003] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR415.178] [Page 676] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES PART 415--SERVICES FURNISHED BY PHYSICIANS IN PROVIDERS, SUPERVISING PHYSICIANS IN TEACHING SETTINGS, AND RESIDENTS IN CERTAIN SETTINGS--Table of Contents Subpart D--Physician Services in Teaching Settings Sec. 415.178 Anesthesia services. (a) General rule. An unreduced physician fee schedule payment may be made if a physician is involved in a single anesthesia procedure involving an anesthesia resident. In the case of anesthesia services, the teaching physician must be present during all critical portions of the procedure and immediately available to furnish services during the entire service or procedure. The teaching physician cannot receive an unreduced fee if he or she performs services involving other patients during the period the anesthesia resident is furnishing services in a single case. For additional rules for payment of anesthesia services involving residents, see Sec. 414.46(c)(1)(iii)). (b) Documentation. Documentation must indicate the physician's presence or participation in the administration of the anesthesia. [60 FR 63178, Dec. 8, 1995; 61 FR 42385, Aug. 15, 1996]