CPT Code 00402 | Description & Clinical Information
CPT 00402 describes the administration of anesthesia by a healthcare provider to a patient who is undergoing a medical procedure on the integumentary system, specifically on the extremities, anterior trunk, and perineum, which may include reconstructive procedures on the breast.
Official Description
The CPT book defines CPT code 00402 as: “Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; reconstructive procedures on breast (eg, reduction or augmentation mammoplasty, muscle flaps)”.
Clinical Information
The procedure describes by CPT code 00402 is an integral part of the anesthesia process. It involves the preoperative evaluation of the patient by the anesthesia provider. The provider then induces the patient and monitors them during the surgical procedure which may involve the integumentary system on the extremities, anterior trunk, and perineum. The procedure may also include reconstructive procedures on the breast, which may be performed by different providers.
As part of their duties, the anesthesia provider notes any types and amounts of medications administered during the procedure. They also record all forms of monitoring used during the surgery, patient responses, and the start and stop times of anesthesia care. Once the surgical procedure is complete, the anesthesia provider is responsible for overseeing the patient’s transfer to postanesthesia care.
Anesthesia codes 00100 to 01999 represent a range of services, including the pre and postoperative visit to assess the patient, anesthesia care during the procedure, the administration of fluids and/or blood as necessary, and standard monitoring services such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry. However, it is important to note that standard anesthesia services do not include unusual forms of monitoring such as the use of SwanGanz catheters, intraarterial lines, or central venous lines. For these services, you may need to code them separately when sufficient supporting documentation is available.
The anesthesia provider’s role in the surgical process is crucial to the patient’s well-being. The preoperative evaluation performed by the anesthesia provider is crucial to determine the best course of action for the patient, as well as to ensure that any potential risks associated with anesthesia are minimized. During the surgical procedure, the anesthesia provider ensures that the patient is comfortable and that their vital signs are closely monitored. In the event of any complications arising from the anesthesia, the anesthesia provider is responsible for taking corrective actions to ensure the patient’s safety.
In conclusion, the CPT code 00402 procedure is an important aspect of the anesthesia process. It involves the preoperative evaluation of the patient, induction of anesthesia, surgical procedure monitoring, documentation, and postoperative care. Anesthesia providers must be highly trained and experienced professionals who are capable of responding to any complications that may arise during the surgery. With their expert knowledge and skills, patients can undergo surgical procedures safely and comfortably.
