CPT code 01654 is used for anesthesia services during shoulder vessel surgery, helping healthcare providers standardize and streamline service documentation.
CPT code 01654 is used to describe anesthesia services provided during surgical procedures on the shoulder's blood vessels. This code is specifically utilized by anesthesiologists and other healthcare professionals to document and bill for the administration of anesthesia during such surgeries. It ensures that the anesthesia component of the procedure is accurately captured for reimbursement purposes, reflecting the complexity and specific nature of the surgical intervention on the shoulder's vascular structures.
For CPT code 01654, which pertains to anesthesia for shoulder vessel surgery, the following modifiers may be applicable:
1. Modifier 22 (Increased Procedural Services): Used when the work required to provide the service is substantially greater than typically required. This may be due to increased complexity or difficulty of the procedure.
2. Modifier 23 (Unusual Anesthesia): Applied 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): Indicates that the surgeon provided regional or general anesthesia for the procedure.
4. Modifier 59 (Distinct Procedural Service): Used to indicate that a procedure or service was distinct or independent from other services performed on the same day.
5. Modifier 76 (Repeat Procedure by Same Physician): Applied when the same procedure is repeated by the same physician subsequent to the original procedure.
6. Modifier 77 (Repeat Procedure by Another Physician): Used when a procedure is repeated by a different physician.
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): Indicates an unplanned 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): Used when a procedure performed during the postoperative period is unrelated to the original procedure.
9. Modifier AA (Anesthesia Services Performed Personally by Anesthesiologist): Indicates that the anesthesiologist personally performed the anesthesia service.
10. Modifier QK (Medical Direction of Two, Three, or Four Concurrent Anesthesia Procedures Involving Qualified Individuals): Used when an anesthesiologist is directing multiple anesthesia procedures.
11. Modifier QX (CRNA Service with Medical Direction by a Physician): Indicates that a Certified Registered Nurse Anesthetist (CRNA) provided the service under the medical direction of a physician.
12. Modifier QY (Medical Direction of One CRNA by an Anesthesiologist): Used when an anesthesiologist provides medical direction for one CRNA.
13. Modifier QZ (CRNA Service without Medical Direction by a Physician): Indicates that a CRNA provided the service without the medical direction of a physician.
These modifiers help provide additional information about the circumstances under which the anesthesia service was provided, ensuring accurate billing and reimbursement.
The CPT code 01654 is subject to reimbursement by Medicare, but its reimbursement status depends on several factors, including its inclusion in the Medicare Physician Fee Schedule (MPFS) and the specific guidelines set forth by the Medicare Administrative Contractor (MAC) for the region where the service is provided.
The MPFS determines the payment rates for services covered under Medicare Part B, and each MAC may have additional local coverage determinations that influence whether a particular CPT code is reimbursed.
Therefore, healthcare providers should verify the reimbursement status of CPT code 01654 by consulting the MPFS and the relevant MAC's policies to ensure compliance and proper billing practices.
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