CPT code 01932 is used for anesthesia services during therapeutic interventions on veins using radiological guidance.
CPT code 01932 is used to describe anesthesia services provided during therapeutic interventional radiological procedures involving the veins. This code is specifically utilized when an anesthesiologist or a certified registered nurse anesthetist (CRNA) administers anesthesia to a patient undergoing a vein-related interventional radiology treatment. These procedures might include treatments such as vein ablation or sclerotherapy, where precise imaging guidance is used to treat venous conditions. The code ensures that the anesthesia component of the procedure is accurately documented and billed, reflecting the specialized care required during these minimally invasive interventions.
For CPT code 01932, which pertains to anesthesia services for therapeutic interventions on the veins using radiological guidance, the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services: This modifier is used when the work required to provide a service is substantially greater than typically required. It may be applicable if the anesthesia service for the procedure was more complex or time-consuming than usual.
2. Modifier 23 - Unusual Anesthesia: This modifier is used 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: This is used when the surgeon administers regional or general anesthesia to the patient. It is not typically used for anesthesia codes but may be relevant in specific scenarios.
4. Modifier 59 - Distinct Procedural Service: This modifier indicates that a procedure or service was distinct or independent from other services performed on the same day. It may be used if multiple procedures are performed and need to be reported separately.
5. Modifier 76 - Repeat Procedure by Same Physician: This modifier is used when the same procedure is repeated by the same physician. It may apply if the anesthesia service needs to be repeated on the same day.
6. Modifier 77 - Repeat Procedure by Another Physician: Similar to Modifier 76, but used when the repeat procedure is performed 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: 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: This is used when an unrelated procedure is performed by the same physician during the postoperative period.
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 QS - Monitored Anesthesia Care Service: Indicates that the service provided was monitored anesthesia care.
12. 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.
13. Modifier QY - Medical Direction of One CRNA by an Anesthesiologist: Used when an anesthesiologist provides medical direction for one CRNA.
14. 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 circumstances under which the anesthesia service was provided, ensuring accurate billing and reimbursement.
CPT code 01932 is subject to reimbursement by Medicare, but its eligibility and the amount reimbursed depend on several factors. The Medicare Physician Fee Schedule (MPFS) is a critical resource for determining whether a specific CPT code, such as 01932, is covered and at what rate. The MPFS outlines the payment rates for services provided by physicians and other healthcare professionals to Medicare beneficiaries.
Additionally, Medicare Administrative Contractors (MACs) play a significant role in the reimbursement process. MACs are responsible for processing Medicare claims and have the authority to make local coverage determinations (LCDs) that can affect whether a particular service is reimbursed in their jurisdiction. Therefore, while CPT code 01932 may be listed on the MPFS, the final decision on reimbursement can vary based on the policies of the specific MAC handling the claim.
Healthcare providers should consult the MPFS and their respective MAC's guidelines to confirm the reimbursement status and rate for CPT code 01932. This ensures compliance with Medicare's billing requirements and helps optimize revenue cycle management.
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