CPT CODES

CPT Code 01650

CPT code 01650 is used to identify anesthesia services provided during shoulder artery surgery for streamlined healthcare documentation.

Table of Contents
What is CPT Code 01650
Does CPT 01650 Need a Modifier?
CPT Code 01650 Medicare Reimbursement
Are You Being Underpaid for 01650 CPT Code?
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What is CPT Code 01650

CPT code 01650 is used to describe anesthesia services provided for surgical procedures on the shoulder artery. This code is specifically utilized by anesthesiologists and other qualified healthcare professionals to document and bill for the administration of anesthesia during surgeries involving the arteries in the shoulder region. The use of this code ensures accurate billing and reimbursement for the anesthesia services rendered in these specific surgical contexts.

Does CPT 01650 Need a Modifier?

For CPT code 01650, which pertains to anesthesia services for shoulder artery surgery, the following modifiers may be applicable:

1. Modifier 22 - Increased Procedural Services: Use this modifier if the anesthesia service required significantly more work than typically required. This could be due to unusual procedural complications or patient conditions.

2. Modifier 23 - Unusual Anesthesia: This modifier is applicable when a procedure that usually requires no anesthesia or local anesthesia must be performed under general anesthesia due to unusual circumstances.

3. Modifier 47 - Anesthesia by Surgeon: If the surgeon administers the anesthesia, this modifier should be used to indicate that the anesthesia was not provided by an anesthesiologist or CRNA.

4. Modifier 59 - Distinct Procedural Service: Use this modifier to indicate that the anesthesia service was distinct or independent from other services performed on the same day.

5. Modifier 76 - Repeat Procedure by Same Physician: This modifier is used if the same physician needs to perform the anesthesia service again on the same day.

6. Modifier 77 - Repeat Procedure by Another Physician: If another physician performs the anesthesia service again on the same day, this modifier should be used.

7. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: This modifier is used if the patient needs to return to the operating room for a related procedure during the postoperative period.

8. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Use this modifier if the anesthesia service is for a procedure unrelated to the original surgery during the postoperative period.

9. Modifier 99 - Multiple Modifiers: If multiple modifiers are applicable, this modifier indicates that more than one modifier is being used.

Each of these modifiers serves a specific purpose and should be applied based on the specific circumstances surrounding the anesthesia service provided. Proper use of modifiers ensures accurate billing and reimbursement for the services rendered.

CPT Code 01650 Medicare Reimbursement

The CPT code 01650 is subject to reimbursement by Medicare, but its coverage and payment are determined by several factors, including the Medicare Physician Fee Schedule (MPFS) and the guidelines set forth by the Medicare Administrative Contractor (MAC) in your specific region.

The MPFS provides a comprehensive list of fees that Medicare uses to reimburse physicians and other healthcare providers for services rendered. However, the actual reimbursement for CPT code 01650 can vary based on local coverage determinations (LCDs) and other policies established by the MAC responsible for your area.

It is essential for healthcare providers to verify the specific reimbursement details with their MAC to ensure compliance and accurate billing.

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