CPT CODES

CPT Code 01830

CPT code 01830 is used for anesthesia services during lower arm surgery, ensuring accurate documentation and reimbursement for healthcare providers.

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What is CPT Code 01830

CPT code 01830 is used to describe anesthesia services provided for surgical procedures on the lower arm. This includes surgeries involving the elbow, forearm, wrist, or hand. The code is utilized by anesthesiologists and other qualified healthcare professionals to document and bill for the anesthesia care given during these specific types of surgeries. Proper use of this code ensures accurate billing and reimbursement for the anesthesia services rendered in the context of lower arm surgical interventions.

Does CPT 01830 Need a Modifier?

When dealing with CPT code 01830, which pertains to anesthesia for lower arm surgery, there are several modifiers that may be applicable depending on the specific circumstances of the procedure. Here is a list of potential modifiers and their purposes:

1. Modifier 22 - Increased Procedural Services: Used when the work required to provide the service is substantially greater than typically required.

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 51 - Multiple Procedures: Used when multiple procedures are performed during the same surgical session.

5. Modifier 59 - Distinct Procedural Service: Indicates that a procedure or service was distinct or independent from other services performed on the same day.

6. Modifier 76 - Repeat Procedure by Same Physician: Used when a procedure or service is repeated by the same physician or other qualified healthcare professional.

7. Modifier 77 - Repeat Procedure by Another Physician: Indicates that a procedure or service is repeated by another physician or qualified healthcare professional.

8. Modifier 78 - Unplanned Return to the Operating/Procedure Room: Used when a patient returns to the operating room for a related procedure during the postoperative period.

9. Modifier 79 - Unrelated Procedure or Service by the Same Physician: Applied when an unrelated procedure or service is performed by the same physician during the postoperative period.

10. Modifier AA - Anesthesia Services Performed Personally by Anesthesiologist: Indicates that the anesthesiologist personally performed the anesthesia service.

11. Modifier QK - Medical Direction of Two, Three, or Four Concurrent Anesthesia Procedures: Used when an anesthesiologist is directing multiple anesthesia procedures concurrently.

12. Modifier QS - Monitored Anesthesia Care Service: Indicates that monitored anesthesia care was provided.

13. Modifier QX - CRNA Service with Medical Direction by a Physician: Used when a Certified Registered Nurse Anesthetist (CRNA) provides anesthesia services under the direction of a physician.

14. Modifier QY - Medical Direction of One CRNA by an Anesthesiologist: Indicates that an anesthesiologist is directing one CRNA.

15. Modifier QZ - CRNA Service without Medical Direction by a Physician: Used when a CRNA provides anesthesia services without the medical direction of a physician.

These modifiers help provide additional information about the anesthesia services rendered and ensure accurate billing and reimbursement. It is important to select the appropriate modifier to reflect the specific circumstances of the procedure accurately.

CPT Code 01830 Medicare Reimbursement

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