5 21, 24 31, 32 biopsy; not otherwise specified Anesthesia for procedures on external, middle, and inner ear including

Transcription

1 Anesthesia Codes Code Description (CPT) Base Units Place of Service PVR Type Anesthesia for procedures on salivary glands, including biopsy Anesthesia for procedures on plastic repair of cleft lip Anesthesia for reconstructive procedures of eyelid (eg, blepharoplasty, ptosis surgery) Anesthesia for electroconvulsive therapy Anesthesia for procedures on external, middle, and inner ear including biopsy; not Anesthesia for procedures on external, middle, and inner ear including biopsy; otoscopy Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy Anesthesia for procedures on eye; not Anesthesia for procedures on eye; lens surgery Anesthesia for procedures on eye; corneal transplant Anesthesia for procedures on eye; vitreoretinal surgery Anesthesia for procedures on eye; iridectomy Anesthesia for procedures on eye; ophthalmoscopy Anesthesia for procedures on nose and accessory sinuses; not Anesthesia for procedures on nose and accessory sinuses; radical surgery Anesthesia for procedures on nose and accessory sinuses; biopsy, soft tissue Anesthesia for intraoral procedures, including biopsy; not otherwise Anesthesia for intraoral procedures, including biopsy; repair of cleft palate Anesthesia for intraoral procedures, including biopsy; excision of retropharyngeal tumor Anesthesia for intraoral procedures, including biopsy; radical surgery Anesthesia for procedures on facial bones or skull; not otherwise Anesthesia for procedures on facial bones or skull; radical surgery (including prognathism) Anesthesia for intracranial procedures; not , Anesthesia for intracranial procedures; subdural taps , Anesthesia for intracranial procedures; burr holes, including ventriculography , 32 1

2 00215 Anesthesia for intracranial procedures;cranioplasty or elevation of depressed skull fracture, extradural (simple or compound) , Anesthesia for intracranial procedures; vascular procedures , Anesthesia for intracranial procedures; procedures in sitting position , Anesthesia for intracranial procedures; cerebrospinal fluid shunting procedures Anesthesia for intracranial procedures; electrocoagulation of intracranial nerve Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and posterior trunk, not Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; not, age 1 year or older Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; needle biopsy of thyroid Anesthesia for all procedures on the larynx and trachea in children less than 1 year of age Anesthesia for procedures on major vessels of neck; not otherwise Anesthesia for procedures on major vessels of neck; simple ligation , Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; not Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; reconstructive procedures on breast (eg, reduction or augmentation mammoplasty, muscle flaps) Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; radical or modified radical procedures on breast Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; radical or modified radical procedures on breast with internal mammary node dissection Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; electrical conversion of arrhythmias Anesthesia for procedures on clavicle and scapula; not otherwise Anesthesia for procedures on clavicle and scapula; radical surgery Anesthesia for procedures on clavicle and scapula; biopsy of clavicle Anesthesia for partial rib resection; not Anesthesia for partial rib resection; thoracoplasty (any type) Anesthesia for partial rib resection; radical procedures (eg, pectus , 32 excavatum) Anesthesia for all procedures on esophagus 1 2

3 00520 Anesthesia for closed chest procedures; (including bronchoscopy) not Anesthesia for closed chest procedures; needle biopsy of pleura Anesthesia for closed chest procedures; pneumocentesis Anesthesia for closed chest procedures; mediastinoscopy and 8 21, 24 31, 32 diagnostic thoracoscopy not utilizing one lung ventilation Anesthesia for closed chest procedures; mediastinoscopy and diagnostic thoracosopy , 32 utilizing one lung ventilation Anesthesia for permanent transvenous pacemaker insertion Anesthesia for access to central venous circulation Anesthesia for transvenous insertion or replacement of pacing cardioverter/defibrillator Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation Anesthesia for tracheobronchial reconstruction Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thorascoscopy); not , Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thorascoscopy); utilizing one lung ventilation Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thorascoscopy); decortication Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thorascoscopy); pulmonary resection with thoracoplasty Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thorascoscopy); intrathoracic procedures on the trachea and bronchi , , , , Anesthesia for sternal debridement Anesthesia for procedures on heart, pericardial sac, and great vessels , 32 of chest; without pump oxygenator Anesthesia for procedures on heart, pericardial sac, and great vessels , 32 of chest; with pump oxygenator Anesthesia for procedures on heart, pericardial sac, and great vessels , 32 of chest; with pump oxygenator with hypothermic circulatory arrest Anesthesia for direct coronary artery bypass grafting without pump , 32 oxygenator Anesthesia for heart transplant or heart/lung transplant , Anesthesia for procedures on cervical spine and cord; not otherwise 10 21, 24 31, 32 3

4 00604 Anesthesia for procedures on cervical spine and cord; procedures with 1 patient in the sitting position Anesthesia for procedures on thoracic spine and cord; not otherwise 10 21, 24 31, Anesthesia for procedures on thoracic spine and cord; thoracolumbar 1 sympathectomy Anesthesia for procedures in lumbar region; not 8 21, 24 31, Anesthesia for procedures in lumbar region; lumbar sympathectomy Anesthesia for procedures in lumbar region; chemonucleolysis 10 21, 24 31, Anesthesia for procedures in lumbar region; diagnostic or therapeutic lumbar puncture Anesthesia for manipulation of the spine or for closed procedures on the cervical, thoracic or lumbar spine Anesthesia for extensive spine and spinal cord procedures (eg, spinal , 32 instrumentation or vascular procedures) Anesthesia for procedures on upper anterior abdominal wall; not Anesthesia for procedures on upper anterior abdominal wall; percutaneous liver biopsy Anesthesia for procedures on upper posterior abdominal wall Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum Anesthesia for hernia repairs in upper abdomen; not Anesthesia for hernia repairs in upper abdomen; lumbar and ventral (incisional) hernias and/or wound dehiscence Anesthesia for hernia repairs in upper abdomen; omphalocele Anesthesia for hernia repairs in upper abdomen; transabdominal repair of diaphragmatic hernia Anesthesia for all procedures on major abdominal blood vessels , Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; partial hepatectomy or management of liver hemorrhage (excluding liver biopsy) , Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; pancreatectomy, partial or total (eg, Whipple procedure) Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; liver transplant (recipient) Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; gastric restrictive procedure for morbid obesity Anesthesia for procedures on lower anterior abdominal wall; not , 32 4

5 00802 Anesthesia for procedures on lower anterior abdominal wall; panniculectomy Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum Anesthesia for procedures on lower posterior abdominal wall Anesthesia for hernia repairs in lower abdomen; not Anesthesia for hernia repairs in lower abdomen; ventral and incisional hernias Anesthesia for hernia repairs in the lower abdomen not otherwise, under 1 year of age Anesthesia for hernia repairs in the lower abdomen not otherwise, infants less than 37 weeks gestational age at birth and less than 50 weeks gestational age at time of surgery Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; amniocentesis Anesthesia for intraperitoneal procedures in lower abdomen including , 32 laparoscopy; abdominoperineal resection Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; radical hysterectomy Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; pelvic exenteration Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/transection Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; not Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal procedures, including upper 1/3 of ureter, or donor nephrectomy Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; total cystectomy Anesthesia for extraperitoneal procedures in lower abdomen, including , 32 urinary tract; radical prostatectomy (suprapubic, retropubic) Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; adrenalectomy Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal transplant (recipient) Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; cystolithotomy Anesthesia for lithotripsy, extracorporeal shock wave; with water bath Anesthesia for lithotripsy, extracorporeal shock wave; without water bath 5

6 00880 Anesthesia for procedures on major lower abdominal vessels; not , Anesthesia for procedures on major lower abdominal vessels;inferior vena cava ligation Anesthesia for; anorectal procedure Anesthesia for; radical perineal procedure , Anesthesia for; vulvectomy , Anesthesia for; perineal prostatectomy Anesthesia for transurethral procedures (including urethrocystoscopy); not Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of bladder tumor(s) Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of prostate Anesthesia for transurethral procedures (including urethrocystoscopy); post-transurethral resection bleeding Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulation and/or removal of ureteral calculus Anesthesia for procedures on male genitalia (including open urethral procedures); not Anesthesia for procedures on male genitalia (including open urethral procedures); vasectomy, unilateral/bilateral Anesthesia for procedures on male genitalia (including open urethral procedures); seminal vesicles Anesthesia for procedures on male genitalia (including open urethral procedures); undescended testis, unilateral or bilateral Anesthesia for procedures on male genitalia (including open urethral , 32 procedures); radical orchiectomy, inguinal Anesthesia for procedures on male genitalia (including open urethral procedures); radical orchiectomy, abdominal Anesthesia for procedures on male genitalia (including open urethral procedures); orchiopexy, unilateral or bilateral Anesthesia for procedures on male genitalia (including open urethral procedures); complete amputation of penis Anesthesia for procedures on male genitalia (including open urethral procedures); radical amputation of penis with bilateral inguinal lymphadenectomy Anesthesia for procedures on male genitalia (including open urethral procedures); radical amputation of penis with bilateral inguinal and iliac lymphadenectomy Anesthesia for procedures on male genitalia (including open urethral procedures); insertion of penile prosthesis (perineal approach) 6

7 00940 Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not Anesthesia for vaginal procedures (including biopsy of labia, vagina, , 32 cervix or endometrium); colpotomy, vaginectomy, colporrhaphy, and open urethral procedures Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); vaginal hysterectomy Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); cervical cerclage Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); culdoscopy Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hysteroscopy and/or hysterosalpingography Anesthesia for bone marrow aspiration and/or biopsy, anterior or posterior iliac crest Anesthesia for procedures on bony pelvis Anesthesia for body cast application or revision Anesthesia for interpelviabdominal (hindquarter) amputation , Anesthesia for radical procedures for tumor of pelvis, except hindquarter amputation Anesthesia for closed procedures involving symphysis pubis or sacroiliac joint Anesthesia for open procedures involving symphysis pubis or sacroiliac joint Anesthesia for open repair of fracture disruption of pelvis or column fracture involving acetabulum Anesthesia for obturator neurectomy; extrapelvic Anesthesia for obturator neurectomy; intrapelvic Anesthesia for all closed procedures involving hip joint Anesthesia for arthroscopic procedures of hip joint Anesthesia for open procedures involving hip joint; not otherwise Anesthesia for open procedures involving hip joint; hip disarticulation Anesthesia for open procedures involving hip joint; total hip arthroplasty Anesthesia for open procedures involving hip joint; revision of total hip arthroplasty Anesthesia for all closed procedures involving upper 2/3 of femur Anesthesia for open procedures involving upper 2/3 of femur; not Anesthesia for open procedures involving upper 2/3 of femur; amputation , Anesthesia for open procedures involving upper 2/3 of femur; radical resection

8 01250 Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursa of upper leg Anesthesia for all procedures involving veins of upper leg, including exploration Anesthesia for procedures involving arteries of upper leg, including bypass graft; not Anesthesia for procedures involving arteries of upper leg, including , 32 bypass graft; femoral artery ligation Anesthesia for procedures involving arteries of upper leg, including bypass graft; femoral artery embolectomy Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursa of knee and/or popliteal area Anesthesia for all closed procedures on lower 1/3 of femur Anesthesia for all open procedures on lower 1/3 of femur , Anesthesia for all closed procedures on knee joint Anesthesia for diagnostic arthroscopic procedures of knee joint Anesthesia for all closed procedures on upper ends of tibia, fibula, and/or patella Anesthesia for all open procedures on upper ends of tibia, fibula, and/or patella Anesthesia for open or surgical arthroscopic procedures on knee joint; not Anesthesia for open or surgical arthroscopic procedures on knee joint; , 32 total knee arthroplasty Anesthesia for open or surgical arthroscopic procedures on knee joint; disarticulation at knee Anesthesia for all cast applications, removal, or repair involving knee joint Anesthesia for procedures on veins of knee and popliteal area; not Anesthesia for procedures on veins of knee and popliteal area; arteriovenous fistula Anesthesia for procedures on arteries of knee and popliteal area; not Anesthesia for procedures on arteries of knee and popliteal area; popliteal thromboendarterectomy, with or without patch graft Anesthesia for procedures on arteries of knee and popliteal area; popliteal excision and graft or repair for occlusion or aneurysm Anesthesia for all closed procedures on lower leg, ankle, and foot Anesthesia for arthroscopic procedures of ankle and/or foot Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not 8

9 01472 Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; repair of ruptured Achilles tendon, with or without graft Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; gastrocnemius recession (eg, Strayer procedure) Anesthesia for open procedures on bones of lower leg, ankle, and foot; not Anesthesia for open procedures on bones of lower leg, ankle, and foot; , 32 radical resection (including below knee amputation) Anesthesia for open procedures on bones of lower leg, ankle, and foot; , 32 osteotomy or osteoplasty of tibia and/or fibula Anesthesia for open procedures on bones of lower leg, ankle, and foot; , 32 total ankle replacement Anesthesia for lower leg cast application, removal, or repair Anesthesia for procedures on arteries of lower leg, including bypass graft; not Anesthesia for procedures on arteries of lower leg, including bypass graft; embolectomy, direct or catheter Anesthesia for procedures on veins of lower leg; not Anesthesia for procedures on veins of lower leg; venous thrombectomy, direct or catheter Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursa of shoulder and axilla Anesthesia for all closed procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint Anesthesia for diagnostic arthroscopic procedures of shoulder joint Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; not Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; radical resection Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; shoulder disarticulation Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; interthoracoscapular (forequarter) amputation Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; total shoulder replacement Anesthesia for procedures on arteries of shoulder and axilla; not , , 32 9

10 01652 Anesthesia for procedures on arteries of shoulder and axilla; axillary-brachial aneurysm Anesthesia for procedures on arteries of shoulder and axilla; bypass graft Anesthesia for procedures on arteries of shoulder and axilla; axillary-femoral bypass graft Anesthesia for all procedures on veins of shoulder and axilla Anesthesia for shoulder cast application, removal or repair; not Anesthesia for shoulder cast application, removal or repair; shoulder spica Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursa of upper arm and elbow; not Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursa of upper arm and elbow; tenotomy, elbow to shoulder, open Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursa of upper arm and elbow; tenoplasty, elbow to shoulder Anesthesia for procedures on nerves, muscles, tendons, fascia, and , 32 bursa of upper arm and elbow; tenodesis, rupture of long tendon of biceps Anesthesia for all closed procedures on humerus and elbow Anesthesia for diagnostic arthroscopic procedures of elbow joint Anesthesia for open or surgical arthroscopic procedures of the elbow; not Anesthesia for open or surgical arthroscopic procedures of the elbow; osteotomy of humerus Anesthesia for open or surgical arthroscopic procedures of the elbow; repair of nonunion or malunion of humerus Anesthesia for open or surgical arthroscopic procedures of the elbow; radical procedures Anesthesia for open or surgical arthroscopic procedures of the elbow; excision of cyst or tumor of humerus Anesthesia for open or surgical arthroscopic procedures of the elbow; , 32 total elbow replacement Anesthesia for procedures on arteries of upper arm and elbow; not Anesthesia for procedures on arteries of upper arm and elbow; embolectomy Anesthesia for procedures on veins of upper arm and elbow; not Anesthesia for procedures on veins of upper arm and elbow; phleborrhaphy 10

11 01810 Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursa of forearm, wrist, and hand Anesthesia for all closed procedures on radius, ulna, wrist, or hand bones Anesthesia for diagnostic arthroscopic procedures on the wrist Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wrist, or hand joints; not Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wrist, or hand joints; total wrist replacement Anesthesia for procedures on arteries of forearm, wrist, and hand; not Anesthesia for procedures on arteries of forearm, wrist, and hand; embolectomy Anesthesia for vascular shunt, or shunt revision, any type (eg, dialysis) Anesthesia for procedures on veins of forearm, wrist, and hand; not Anesthesia for procedures on veins of forearm, wrist, and hand; phleborrhaphy Anesthesia for forearm, wrist, or hand cast application, removal, or repair 3 21, 24, 99 31, Anesthesia for myelography, diskography, vertebroplasty 5 21, 24, 99 31, Anesthesia for diagnostic arteriography/venography 5 21, 24, 99 31, Anesthesia for cardiac catheterization including coronary angiography 7 21, 24, 99 31, 32 and ventriculography (not to include Swan-Ganz catheter) Anesthesia for non-invasive imaging or radiation therapy 7 21, 24, 99 31, Anesthesia for therapeutic interventional radiologic procedures involving 5 21, 24, 99 31, 32 the arterial system; not Anesthesia for therapeutic interventional radiologic procedures involving the arterial system; carotid or coronary 7 21, 24, 99 31, Anesthesia for therapeutic interventional radiologic procedures involving the arterial system; intracranial, intracardiac, or aortic Anesthesia for therapeutic interventional radiologic procedures involving the venous/lymphatic system (not to include access to the central circulation); not Anesthesia for therapeutic interventional radiologic procedures involving the venous/lymphatic system (not to include access to the central circulation); intrahepatic or portal circulation (eg, transcutaneous porto-caval shunt (TIPS)) Anesthesia for therapeutic interventional radiologic procedures involving the venous/lymphatic system (not to include access to the central circulation); intrathoracic or jugular Anesthesia for therapeutic interventional radiologic procedures involving the venous/lymphatic system (not to include access to the central circulation); intracranial Anesthesia for second and third degree burn excision or debridement with or without skin grafting, any site, for total body surface area (TBSA) treated during anesthesia and surgery; less than four percent total body surface area 8 21, 24, 99 31, , 24, 99 31, , 24, 99 31, , 24, 99 31, , 24, 99 31, 32 11

12 01952 Anesthesia for second and third degree burn excision or debridement with or without skin grafting, any site, for total body surface area (TBSA) treated during anesthesia and surgery; between four and nine percent of total body surface area Anesthesia for second and third degree burn excision or debridement with or without skin grafting, any site, for total body surface area (TBSA) treated during anesthesia and surgery; each additional nine percent total body surface area or part thereof (List separately in addition to code for primary procedure) , , Anesthesia for external cephalic version procedure Anesthesia for vaginal delivery only , Anesthesia for cesarean delivery only , Anesthesia for urgent hysterectomy following delivery , Anesthesia for cesarean hysterectomy without any labor , 32 analgesia/anesthesia care Anesthesia for abortion procedures Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarachnoid needle placement and drug injection and/or any necessary replacement of an epidural catheter during labor) , Anesthesia for cesarean delivery following neuraxial labor analgesia/anesthesia (List separately in addition to code for primary procedure performed) Anesthesia for cesarean hysterectomy following neuraxial labor analgesia/anesthesia (List separately in addition to code for primary procedure performed) Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is performed by a different provider); other than the prone position Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is performed by a different provider); prone position , , 32 12