CPT code 01933 is used for anesthesia services during therapeutic interventions on cranial veins using radiological guidance.
CPT code 01933 is used to describe anesthesia services provided during interventional radiology procedures involving the cranial veins. This code is specifically utilized by anesthesiologists or anesthesia providers to bill for their professional services when they administer anesthesia to a patient undergoing a radiological intervention targeting the veins in the cranial region. The use of this code ensures that the anesthesia component of the procedure is accurately documented and reimbursed, reflecting the specialized care required for such intricate procedures.
For CPT code 01933, which pertains to anesthesia services for interventional radiology procedures involving cranial veins, 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. Documentation must support the substantial additional work and the reason for it.
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 applicable for local anesthesia.
4. Modifier 59 - Distinct Procedural Service: This modifier is used to indicate that a procedure or service was distinct or independent from other services performed on the same day. It is used to identify procedures/services that are not normally reported together but are appropriate under the circumstances.
5. Modifier 76 - Repeat Procedure by Same Physician: This modifier is used when a procedure or service is repeated by the same physician or other qualified healthcare professional subsequent to the original procedure or service.
6. Modifier 77 - Repeat Procedure by Another Physician: This is used when a procedure or service is repeated by another physician or other qualified healthcare professional subsequent to the original procedure or service.
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 when a related procedure is performed during the postoperative period of the initial procedure.
8. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: This is used when an unrelated procedure or service is performed by the same physician during the postoperative period.
9. Modifier AA - Anesthesia Services Performed Personally by Anesthesiologist: This modifier is used to indicate that the anesthesia services were personally performed by an anesthesiologist.
10. Modifier QK - Medical Direction of Two, Three, or Four Concurrent Anesthesia Procedures Involving Qualified Individuals: This is used when an anesthesiologist is medically directing two to four concurrent anesthesia procedures.
11. Modifier QS - Monitored Anesthesia Care Service: This modifier is used to indicate that monitored anesthesia care was provided.
12. Modifier QX - CRNA Service: With Medical Direction by a Physician: This is used when a Certified Registered Nurse Anesthetist (CRNA) provides anesthesia services under the medical direction of a physician.
13. Modifier QY - Medical Direction of One CRNA by an Anesthesiologist: This is used when an anesthesiologist provides medical direction for one CRNA.
14. Modifier QZ - CRNA Service: Without Medical Direction by a Physician: This is 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. Proper documentation is essential when using these modifiers to justify their application.
The CPT code 01933, related to anesthesia services, is subject to reimbursement by Medicare, but this depends on several factors. To determine if Medicare reimburses this specific CPT code, healthcare providers should refer to the Medicare Physician Fee Schedule (MPFS). The MPFS provides detailed information on the payment rates and coverage policies for services covered under Medicare Part B.
Additionally, reimbursement can vary based on the local policies set by the Medicare Administrative Contractor (MAC) for the provider's region. MACs are responsible for processing Medicare claims and have the authority to make coverage decisions that can affect whether a particular CPT code is reimbursed. Therefore, it is crucial for healthcare providers to consult both the MPFS and their respective MAC to confirm the reimbursement status of CPT code 01933.
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