CPT code 01842 is used for anesthesia services during a lower arm embolectomy procedure, ensuring accurate service documentation.
CPT code 01842 is used to describe the anesthesia services provided for a surgical procedure involving the removal of an embolus or thrombus from the lower arm. This code is specific to the administration of anesthesia during an embolectomy, which is a procedure aimed at restoring blood flow by removing a blockage from an artery or vein in the lower arm. The use of this code ensures that the anesthesia component of the procedure is accurately documented and billed, reflecting the specialized care required for such vascular interventions.
When dealing with CPT code 01842 for anesthesia services related to a lower arm embolectomy, several modifiers 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. This could be due to factors such as increased complexity or time.
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. This is not typically used for anesthesia codes but may be relevant in specific billing situations.
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. This is applicable if multiple procedures are performed and need to be reported separately.
5. Modifier 76 - Repeat Procedure by Same Physician: Used when the same procedure is repeated by the same physician or other qualified healthcare professional subsequent to the original procedure.
6. Modifier 77 - Repeat Procedure by Another Physician: Indicates that a procedure was repeated by another physician or qualified healthcare professional.
7. 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.
8. Modifier 79 - Unrelated Procedure or Service by the Same Physician: Applied when a procedure or service is performed during the postoperative period of another procedure, but 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: Used when an anesthesiologist is directing multiple anesthesia procedures simultaneously.
11. Modifier QX - CRNA Service with Medical Direction by a Physician: Indicates that a Certified Registered Nurse Anesthetist (CRNA) provided the anesthesia 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 a single CRNA.
13. Modifier QZ - CRNA Service without Medical Direction by a Physician: Indicates that a CRNA provided the anesthesia 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. It is important to select the appropriate modifiers based on the specific details of the procedure and the roles of the healthcare professionals involved.
The CPT code 01842 is subject to reimbursement considerations under Medicare. To determine if this specific code is reimbursed by Medicare, healthcare providers should consult the Medicare Physician Fee Schedule (MPFS), which provides detailed information on the payment rates for services covered by Medicare. Additionally, it is important to verify with the local Medicare Administrative Contractor (MAC), as they are responsible for processing Medicare claims and can provide guidance on coverage specifics, including any regional variations or additional requirements that may apply to the reimbursement of CPT code 01842.
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