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    eAlerts are the latest industry information regarding regulatory changes, helpful compliance reminders, or any number of relevant topics in the fast-paced, ever-evolving specialty of anesthesia.

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    Anesthesia Business Consultants
    255 West Michigan Avenue
    Jackson, MI 49201 United States

    ©2019 Anesthesia Business Consultants

  • List of CPT Codes for Anesthesia Procedures & Services, Including Modifiers

    The Current Procedural Terminology code set is a medical code set maintained by the American Medical Association through the CPT Editorial Panel. The CPT code set is copyright protected by the AMA.

    Anesthesia CPT Code Ranges

    Area of the Body

    CPT Code Range

    Head

    00100-00222

    Neck

    00300-00352

    Thorax (chest wall and shoulder girdle)

    00400-00474

    Intrathoracic

    00500-00580

    Spine and Spinal Cord

    00600-00670

    Upper Abdomen

    00700-00797

    Lower Abdomen

    00800-00882

    Perineum

    00902-00952

    Pelvis (except hip)

    01112-01173

    Upper Leg (except knee)

    01200-01274

    Knee and Popliteal Area

    01320-01444

    Lower Leg (below knee, including ankle and foot)

    01462-01522

    Shoulder and Axilla

    01610-01680

    Upper Arm and Elbow

    01710-01782

    Forearm, Wrist and Hand

    01810-01860

    Radiological Procedure

    01916-01942

    Burn Excisions or Debridement

    01951-01953

    Obstetric

    01958-01969

    Other Procedure

    01990-01999


     

    Anesthesia CPT Codes

    Head
    00100 salivary gland
    00102 repair of cleft lip
    00103 blepharoplasty
    00104 electroshock
    00120 ear surgery

    00124 ear exam
    00126 tympanotomy
    00140 procedures on eye
    00142 lens surgery
    00144 corneal transplant
    00145 vitreoretinal surgery
    00147 iridectomy
    00148 eye exam
    00160 nose/sinus surgery
    00162 radical nose/sinus surgery
    00164 biopsy of nose
    00170 intraoral surgery
    00172 cleft palate repair
    00174 pharyngeal surgery
    00176 radical intraoral surgery
    00190 face/skull bone surgery
    00192 radical facial bone/skull surgery
    00210 cranial surgery
    00211 cran surg, hemotoma
    00212 skull drainage
    00214 skull drainage
    00215 skull repair/fract
    00216 head vessel surgery
    00218 intracranial procedures in sitting position
    00220 cerebrospinal fluid shunting procedures
    00222 intracranial nerve surgery

    Neck
    00300 head/neck/ptrunk
    00320 neck organ, 1 & over 0
    00322 biopsy of thyroid 0
    00326 larynx/trach, < 1 yr
    00350 neck vessel surgery
    00352 simple ligation neck vessel

    Thorax (Chest Wall and Shoulder Girdle)
    00400 skin, ext/per/atrunk
    00402 reconst px on breast
    00404 rad or mod rad px on breast
    00406 rad or mod rad px on breast w/ mammary node dissection
    00410 electrical conversion of arrhythmias
    00450 px on clavicle & scapula NOS
    00454 biopsy of clavicle, sternum or ribs
    00470 partial rib resection NOS
    00472 rib resection; thoracoplasty (any type)
    00474 partial rib resection; radical e.g. pectus excavatum

    Intrathoracic
    00500 esophageal surgery
    00520 closed chest procedures
    00522 chest lining biopsy
    00524 chest drainage
    00528 chest partition view w/o 1 lung vent
    00529 chest partition w/ 1 lung vent
    00530 pacemaker insertion
    00532 vascular access
    00534 cardioverter/defib
    00537 cardiac electrophys
    00539 trach-bronch reconst
    00540 chest surgery
    00541 one lung ventilation
    00542 release of lung?
    00546 lung,chest wall surg
    00548 trachea,bronchi surg?
    00550 sternal debridement
    00560 heart surg w/o pump
    00561 heart surgery w/ pump < age 1
    00562 anesth hrt surg w/pmp age 1+
    00563 heart Surg W/Arrest
    00566 cabg w/o pump
    00567 cabg w/pump
    00580 heart/lung transplant

    Spine/Spinal Cord
    00600 cervical spine, cord surgery
    00604 cervical spine and cord surgery in sitting position
    00620 thoracic spine, cord surgery
    00625 thoracic spine, cord surgery transthoracic w/o 1 lung vent
    00626 thoracic spine, cord surgery transthoracic w/ 1 lung vent
    00630 lumbar spine, cord surgery
    00632 removal of nerves
    00635 lumbar puncture
    00640 spine manipulation or closed procedures on spine
    00670 extensive spine, cord surgery

    Upper Abdomen
    00700 upper anterior abdominal wall surgery
    00702 percutaneous liver biopsy
    00730 upper posterior abdominal wall surgery
    00731 anesthesia for upper gi endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified
    00732 ERCP
    00750 repair of hernia
    00752 repair lumbar and ventral hernia
    00754 omphalocele
    00756 transabdominal repair diaphragmatic hernia
    00770 blood vessel repair
    00790 surgery upper abdomen
    00792 hemorr/excise liver
    00794 pancreas removal
    00796 for liver transplant 0
    00797 surgery for obesity

    Lower Abdomen
    00800 lower anterior abdominal surgery
    00802 fat layer removal
    00811 anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified
    00812 screening colonoscopy
    00813 anesthesia for combined upper and lower gi endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum
    00820 lower posterior abdominal surgery
    00830 repair of hernia
    00832 repair ventral and incisional hernia
    00834 hernia repair<  1 yr 00836 anesth hernia repair preemie
    00840 surgery lower abdomen
    00842 amniocentesis
    00844 pelvis surgery
    00846 radical hysterectomy
    00848 pelvic organ surgery
    00851 tubal ligation
    00860 surgery of abdomen
    00862 kidney/ureter surgery
    00864 removal of bladder
    00865 removal of prostate
    00866 removal of adrenal
    00868 kidney transplant
    00870 bladder stone surgery
    00872 kidney stone destruction w/ water bath
    00873 kidney stone destruction w/o water bath
    00880 abdomen vessel surgery
    00882 major vein ligation

    Perenium
    00902 anorectal
    00904 radical perineal surgery
    00906 removal of vulva
    00908 removal of prostate
    00910 bladder surgery
    00912 bladder tumor surgery
    00914 removal of prostate
    00916 bleeding control
    00918 stone removal
    00920 male genitalia surgery
    00921 vasectomy
    00922 sperm duct surgery
    00924 testis exploration
    00926 radical orchiectomy, inguinal
    00928 radical orchiectomy, abdominal
    00930 testis suspension
    00932 amputation of penis
    00934 penis, nodes removal
    00936 penis, nodes removal
    00938 insert penis device
    00940 vaginal procedures
    00942 surgery on vag/urethral
    00944 vaginal hysterectomy
    00948 repair of cervix
    00950 vaginal endoscopy
    00952 hysteroscope/graph

    Pelvis
    01112 bone aspirate/bx
    01120 pelvis surgery
    01130 body cast procedure
    01140 amputation at pelvis 0
    01150 pelvic tumor surgery
    01160 closed pelvis procedure
    01170 open pelvis surgery
    01173 fx repair, pelvis 

    Upper Leg
    01200 closed hip joint procedure
    01202 arthroscopy of hip
    01210 open hip joint surgery
    01212 hip disarticulation
    01214 hip arthroplasty
    01215 revise hip repair
    01220 closed femur procedure, upper 2/3
    01230 surgery of femur upper 2/3
    01232 amputation of femur
    01234 radical femur surgery
    01250 procedures on nerve, muscles, tendon, fascia and bursae of upper leg
    01260 all procedures on veins of upper leg
    01270 all procedures on arteries of upper leg
    01272 artery ligation
    01274 artery embolectomy

    Knee
    01320 procedures on nerves, muscles, tendons, fascia, and bursae of knee and/or popliteal area 01340 closed procedures on femur, lower 1/3
    01360 open surgery on femur lower 1/3
    01380 knee joint procedure
    01382 dx knee arthroscopy
    01390 closed procedure upper ends tibia, fibula and/or patella
    01392 open surgery on upper ends of tibia, fibula, and/or patella
    01400 arthroscopic knee joint surgery
    01402 knee arthroplasty
    01404 amputation at knee
    01420 knee joint casting
    01430 knee veins surgery
    01432 knee vessel surgery
    01440 knee arteries surgery
    01442 knee artery surgery
    01444 knee artery repair

    Leg/Ankle/Foot
    01462 closed procedure on lower leg, ankle, foot
    01464 ankle/ft arthroscopy
    01470 procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, foot
    01472 achilles tendon surgery
    01474 lower leg surgery
    01480 open procedures on bones of lower leg, ankle, foot
    01482 radical leg surgery
    01484 lower leg revision
    01486 ankle replacement
    01490 lower leg casting
    01500 leg arteries surgery
    01502 lower leg embolectomy
    01520 lower leg vein surgery
    01522 lower leg thrombectomy

    Shoulder/Axilla
    01610 procedures on nerves, muscles, tendons, fascia, and bursae of shoulder and axilla
    01620 closed procedure on shoulder
    01622 anes dx shoulder arthro
    01630 open or surgical arthroscopic procedures on shoulder joint
    01634 shoulder disarticulation
    01636 forequarter amput
    01638 shoulder replacement
    01650 shoulder artery surgery
    01652 shoulder vessel surgery
    01654 shoulder vessel surgery
    01656 arm-leg vessel surgery
    01670 shoulder vein surgery
    01680 shoulder casting

    Upper Arm/Elbow
    01710 procedures on nerves muscles, tendons, fascia, and bursae of upper arm and elbow
    01712 upper arm tendon surgery
    01714 upper arm tendon surgery
    01716 biceps tendon repair
    01730 closed procedures on humerus and elbow
    01732 dx elbow arthroscopy
    01740 open or arthroscopic procedures on elbow
    01742 humerus surgery
    01744 humerus repair
    01756 radical humerus surgery
    01758 humeral lesion surgery
    01760 elbow replacement
    01770 upper arm artery surgery
    01772 upper arm embolectomy
    01780 upper arm vein surgery
    01782 upper arm vein repair

    Arm/Wrist/Hand
    01810 procedures on nerves, muscles, tendons, fascia and bursae of forearm, wrist and hand
    01820 closed procedure on radius, ulna, wrist or hand bones
    01829 dx wrist arthroscopy
    01830 open or surgical arthroscopic procedure on distal radius, distal ulna, wrist, or hand joints
    01832 total wrist replacement
    01840 lower arm artery surgery
    01842 lower arm embolectomy
    01844 vascular shunt surgery
    01850 lower arm vein surgery
    01852 lower arm vein repair
    01860 lower arm casting

    Radiological Procedure
    01916 dx arteriography
    01920 catheterize heart
    01922 cat or MRI scan
    01924 anes, ther interven rad, art
    01925 anes, ther interven rad, carotid
    01926 anes, ther interven rad, hrt/cran arterv
    01930 anes, ther interven rad, vei
    01931 anes, ther interven rad, tip
    01932 anes, ther interven rad, thoracic vein
    01933 anes, ther interven rad, cran vein
    01937 percutaneous image injection, drainage, aspiration spine or spinal cord; cervical or thoracic
    01938 percutaneous image injection, drainage, aspiration spine or spinal cord; lumbar or sacral
    01939 percutaneous image destruction procedure by neurolytic agent spine or spinal cord; cervical or thoracic
    01940 percutaneous image destruction procedure by neurolytic agent spine or spinal cord; lumbar or sacral
    01941 percutaneous image neuromodulation or intravertebral procedures spine or spinal cord; cervical or thoracic
    01942 percutaneous image neuromodulation or intravertebral procedure spine or spinal cord; lumbar or sacral

    Burns
    01951 burn, less 4 percent
    01952 burn, 4-9 percent
    01953 each additional 9%

    Obsteric
    01958 antepartum manipul
    01960 vaginal delivery
    01961 cs delivery
    01962 emer hysterectomy
    01963 cesarean hysterectomy without any labor analgesia/anesthesia care
    01965 incomplete or missed abortion
    01966 induced abortion
    01967 neuraxial labor analgesia/anesthesia for planned vaginal delivery
    01968 cesarean delivery following neuraxial labor analgesia/anesthesia
    01969 cesarean hysterectomy following neuraxial labor analgesia/anesthesia

    Other Procedures
    01990 physiological support for harvesting of organ(s) from brain-dead patient
    01991 nerve block/inj
    01992 n block/inj, prone
    01996 daily hospital management of epidural or subarachnoid continuous drug administration
    01999 unlisted anesth procedure


     

    Bundled Services

    Description

    CPT Code

    Special anesthesia service

    99100

    Anesthesia with hypothermia

    99116

    Special anesthesia procedure

    99135

    Emergency anesthesia

    99140

    Anesthesia CPT Code Modifiers 

    Description

    Modifer

    Healthy individual with minimal anesthesia risk.

    P1

    Mild systemic disease.

    P2

    Severe systemic disease with intermittent threat of morbidity or mortality.

    P3

    Severe systemic illness with ongoing threat of morbidity or mortality.

    P4

    Pre-morbid condition with high risk of demise unless procedural intervention is performed.

    P5

      

    Description

    Modifer

    Anesthesia HCPCS Modifier – used to indicate certain deep, complex, complicated or markedly invasive surgical procedures. This modifier is to be applied to the following anesthesia CPT codes only: 00100, 00300, 00400, 00160, 00532 and 00920.

    G8

    Anesthesia HCPCS Modifier – represents “a history of severe cardiopulmonary disease,” and should be utilized whenever the procedural list feels the need for MAC due to a history of advanced cardiopulmonary disease. The documentation of this clinical decision making process and the need for additional monitoring must be clearly documented in the medical record.

    G9


    Anesthesia Business Consultants, LLC (ABC) is the largest physician billing and practice management company specializing exclusively in the practice of anesthesia and pain management. ABC serves thousands of anesthesiologists and CRNAs nationwide with anesthesia billing software solutions. Need help getting your anesthesia billing backlog under control? Contact us today. 

     

  • Communiqué

    A quarterly newsletter produced in both print and electronic versions featuring in-depth articles by ABC executives and national experts on all aspects of anesthesia practice management.

     

  • Anesthesia Industry and Market News: eAlert Source Material