CPT 00500 – CPT 00580 (Anesthesia For for Intrathoracic Procedures)
00500 CPT Code
00500 CPT Code Description: CPT 00500 can be billed if a health provider performs anesthesia services for a patient during procedures on the esophagus. The esophagus is another word for the food pipe.
CPT code 00500 is part of the merit-based incentive payment system program and was added as a Current Procedural Terminology (CPT) code on the first of January 1990.
00520 CPT Code
00520 CPT Code Description: CPT 00520 can be reported if a health professional provides anesthesia services while performing closed chest procedures to a patient.
CPT code 00520 can be billed if the closed chest procedure includes bronchoscopy. Bronchoscopy is a technique to investigate the windpipe of the patient.
Use this code only if not described more specifically by another CPT code.
CPT code 00520 is part of the merit-based incentive payment system program. This code was added to Current Procedural Terminology (CPT) on the first of January 1990.
00522 CPT Code
00522 CPT Code Description: CPT 00522 can be reported if a health professional provides anesthesia services while performing closed chest procedures to a patient.
CPT code 00522 can be billed if the closed chest procedure includes a needle biopsy of the pleura. The pleura is the double-layered membrane that covers the lungs.
Use this code only if a biopsy of the pleura is included.
This code is part of the merit-based incentive payment system program. It was added to Current Procedural Terminology (CPT) on the first of January 1990.
00524 CPT Code
00524 CPT Code Description: CPT 00524 can be reported if a health professional provides anesthesia services while performing closed chest procedures of pneumoconiosis to patients.
CPT code 00524 can be billed if another health provider inserts a needle into a patient’s lung to drain the fluid contents.
The 00524 CPT code is an inpatient-only procedure (IPO) code.
Code 00524 is part of the merit-based incentive payment system program. It was added to Current Procedural Terminology (CPT) on the first of January 1990, and in 2017, this code was added to the inpatient-only (IPO) list.
00528 CPT Code
00528 CPT Code Description: CPT 00528 can be reported if a surgical professional provides anesthesia services while performing closed chest procedures.
This code can specifically be billed for mediastinoscopy and diagnostic thoracoscopy not utilizing one-lung ventilation. Use CPT 00529 if one-lung ventilation is utilized.
Report the 00528 CPT code only if another health provider assists the surgical provider with installing a video device via an opening at the base of the neck to view structures between the lungs.
Thoracoscopy may be performed in the 00528 procedure and should not be billed separately. The surgical provider inserts a camera device through a hole in the lower chest side to view abnormalities in the contents of the pleura (the double-layered membrane covering the lungs).
Don’t report CPT 00528 for tracheobronchial reconstruction—Bill CPT 00539 instead.
CPT code 00528 is part of the merit-based incentive payment system (MIPS) program and was added as a Current Procedural Terminology (CPT) code on the first of January 1990.
This code was changed on the first of January 2004 and again (to the current description) in 2010.
00529 CPT Code
00529 CPT Code Description: CPT 00528 can be reported if a surgical professional provides anesthesia services while performing closed chest procedures.
This code can specifically be billed for mediastinoscopy and diagnostic thoracoscopy, including lung ventilation. Use CPT 00528 if lung ventilation is not utilized.
The 00529 CPT code can be reported if another health provider assists the surgical provider with installing a video device via an opening at the base of the neck to view structures between the lungs.
Thoracoscopy may be performed in the 00528 procedure and should not be billed separately. The surgical provider inserts a camera device through a hole in the lower chest side to view abnormalities in the contents of the pleura (the double-layered membrane covering the lungs).
CPT code 00529 is part of the merit-based incentive payment system (MIPS) program and was added as a Current Procedural Terminology (CPT) code on the first of January 2004. This code was changed to the current description on the first of January 2004.
00530 CPT Code
00530 CPT Code Description: CPT 00530 can be reported if a surgical professional provides anesthesia services on a patient who undergoes a procedure in which a permanent transvenous pacemaker is inserted.
This code can be reported if another health provider inserts a device into the heart chambers (via a blood vessel in the neck) to treat irregular heartbeats.
CPT code 00530 is part of the merit-based incentive payment system (MIPS) program and was added as a Current Procedural Terminology (CPT) code on the first of January 1990 and was changed on the first of January 2001 to the recent description.
00532 CPT Code
00532 CPT Code Description: CPT 00532 can be reported if a surgical professional provides anesthesia services on a patient who undergoes a procedure in which the central venous circulation is accessed. Central venous circulation is the prominent veins that drain blood into a heart.
This code may be reported if another health provider uses the entry point/access for monitoring or various cardiac treatments.
The 00532 code is part of the merit-based incentive payment system (MIPS) program and was added as a Current Procedural Terminology (CPT) code on the first of January 1992. The description of the 00532 CPT code has never changed since.
00534 CPT Code
00534 CPT Code Description: CPT 00534 can be billed when a surgical professional provides anesthesia services to patients undergoing a transvenous cardioverter defibrillator insertion procedure.
During the procedure, another health provider inserts a device into the heart’s chambers via a blood vessel in the neck. This procedure is performed to treat patients with an irregular heartbeat.
Replacing the pacing cardioverter defibrillator is included in the 005344 CPT code and does not need to be billed separately.
Don’t use CPT code 00534 for the transthoracic approach. Report CPT 00560 instead.
CPT code 00534 is part of the merit-based incentive payment system (MIPS) program. This code was added to Current Procedural Terminology (CPT) on the first of January 1993. The description was updated on the first of January to the recent version.
00537 CPT Code
00537 CPT Code Description: CPT 00537 can be used when a surgical provider performs anesthesia services to a patient undergoing cardiac electrophysiologic procedures.
Included in cardiac electrophysiologic procedures are;
- radiofrequency ablation;
- lead testing;
- arrhythmia induction;
- recording;
- pacing;
- mapping; and
- similar services.
This code was added to Current Procedural Terminology (CPT) on the first of January 2001 and is part of the merit-based incentive payment system (MIPS) program.
00539 CPT Code
00539 CPT Code Description: CPT 00539 can be used if a health provider performs anesthesia services on a patient undergoing tracheobronchial reconstruction procedures.
The surgical provider repairs malformations or injuries on the windpipe and its subdivisions and is included in CPT code 00539.
CPT code 00539 is part of the merit-based incentive payment system (MIPS) program. This code was added to Current Procedural Terminology (CPT) on the first of January 2003. The code description has never been changed since.
00540 CPT Code
00540 CPT Code Description: CPT 00540 may be reported if a health provider performs anesthesia services on a patient undergoing thoracotomy procedures involving:
- mediastinum;
- diaphragm;
- pleura; and the
- lungs.
Thoracotomy is a procedure in which the chest is opened for investigation or surgical treatment of structures within the patient’s chest.
Report this code only if the thoracotomy procedure is not described in a more specific thoracotomy procedure code. Surgical thoracoscopy is included.
CPT 00540 is an inpatient-only procedure code.
CPT code 00540 is part of the merit-based incentive payment system (MIPS) program. This code was added to Current Procedural Terminology (CPT) on the first of January 1990 and has never been changed since and added under the inpatient-only (IPO) list in 2017.
00541 CPT Code
00541 CPT Code Description: CPT 00541 can be reported if a health provider performs anesthesia services on a patient undergoing thoracotomy procedures involving:
- mediastinum;
- diaphragm;
- pleura; and the
- lungs.
Thoracotomy is a procedure in which the chest is opened for investigation or surgical treatment of structures within the patient’s chest. Report this code only if one-lung ventilation is utilized in the thoracotomy procedure. Surgical thoracoscopy is included and does not need to be reported separately.
Don’t report CPT code 00541 for thoracic spine and cord anesthesia procedures via an anterior transthoracic approach. Bill CPT 00625 or CPT 00626 instead.
The 00541 CPT code is part of the merit-based incentive payment system (MIPS) program. This code was added to Current Procedural Terminology (CPT) on the first of January 2003 and updated to the current version on January 2010.
00542 CPT Code
00542 CPT Code Description: CPT 00542 can be reported if a health provider performs anesthesia services on a patient undergoing thoracotomy procedures involving:
- mediastinum;
- diaphragm;
- pleura; and the
- lungs.
Thoracotomy is a procedure in which the chest is opened for investigation or surgical treatment of structures within the patient’s chest.
Report this code only if decortication (peeling away the lining of the lungs) in the thoracotomy procedure. Surgical thoracoscopy is included and does not need to be reported separately.
CPT 00542 is an inpatient-only procedure code added to the IPO list 2017.
CPT code 00542 is part of the merit-based incentive payment system (MIPS) program and was added as a Current Procedural Terminology (CPT) code on the first of January 1990. The description of the 00542 CPT code has never changed since.
00546 CPT Code
00546 CPT Code Description: CPT 00546 can be reported if a health provider performs anesthesia services on a patient undergoing procedures in which the chest wall is opened and include;
- surgical repair of the thorax;
- removal of part of part of a lung; and
- removal of all lungs.
The thoracotomy procedures involve:
- mediastinum;
- diaphragm;
- pleura; and the
- lungs.
Thoracotomy is a procedure in which the chest is opened for investigation or surgical treatment of structures within the patient’s chest.
Report this code only if pulmonary resection with thoracoplasty in the thoracotomy is performed. Surgical thoracoscopy is included and does not need to be reported separately.
CPT 00546 is an inpatient-only procedure code added to the IPO list 2017.
CPT code 00546 is part of the merit-based incentive payment system (MIPS) program and was added as a Current Procedural Terminology (CPT) code on the first of January 1990 and has not changed since.
00548 CPT Code
00548 CPT Code Description: CPT 00548 can be reported if a health provider performs anesthesia services on a patient undergoing procedures in which the chest wall is opened and include;
- surgical repair of the thorax;
- removal of part of part of a lung; and
- removal of all lungs.
The thoracotomy procedures involve:
- mediastinum;
- diaphragm;
- pleura; and the
- lungs.
Thoracotomy is a procedure in which the chest is opened for investigation or surgical treatment of structures within the patient’s chest.
Report CPT code 00548 only if surgical procedures on the trachea (the windpipe) and the bronchi (the air passages that lead from the windpipe to the lungs) are performed. Surgical thoracoscopy is included and does not need to be reported separately.
CPT code 00548 is part of the merit-based incentive payment system (MIPS) program and was added as a Current Procedural Terminology (CPT) code on the first of January 1990 and has not changed since.
00550 CPT Code
00550 CPT Code Description: CPT 00550 can be reported if a health provider performs anesthesia services for a patient undergoing a procedure in which damaged or dead tissue is removed from the breastbone.
CPT code 00550 is part of the merit-based incentive payment system (MIPS) program and was added as a Current Procedural Terminology (CPT) code on the first of January 1990 and has never been updated since.
00560 CPT Code
00560 CPT Code Description: CPT 00560 can be reported if a health provider performs anesthesia services for a patient undergoing a procedure on;
- remarkable vessels of the chest;
- the pericardial sac; and
- the heart.
Examples of great vessels of the chest are major pulmonary vessels, the aorta, and its major branches.
Report this code only if a pump oxygenator is not required to take on the work of the lungs and heart. Use CPT 00561 if a pump oxygenator is required.
CPT 00560 is an inpatient-only procedure code added to the IPO list 2017. This code is also part of the merit-based incentive payment system (MIPS) program.
The code was added to Current Procedural Terminology (CPT) on the first of January 1990 and changed to the current version on January 2002.
00561 CPT Code
00561 CPT Code Description: CPT 00561 can be reported if a health provider performs anesthesia services for a patient undergoing a procedure on;
- remarkable vessels of the chest;
- the pericardial sac; and
- the heart.
Examples of great vessels of the chest are major pulmonary vessels, the aorta, and its major branches.
Report this code only if a pump oxygenator is required to take on the work of the lungs and heart. Use CPT 00560 if a pump oxygenator is not required.
The 00561 can only be billed for patients younger than one year. This code can’t be reported with CPT 99100, CPT 99116, and CPT 99135.
00562 CPT Code
00562 CPT Code Description: CPT 00562 can be reported if a health provider performs anesthesia services for a patient undergoing a procedure on;
- remarkable vessels of the chest;
- the pericardial sac; and
- the heart.
Examples of great chest vessels are major pulmonary vessels, the aorta, and its major branches.
The 00562 can only be billed for patients older than one year. Report this code only if a pump oxygenator is required to take on the work of the lungs and heart.
This code can be used for reoperation within a month of the original coronary bypass operation or for all noncoronary bypass procedures (for example, a valve procedure).
CPT 00562 is an inpatient-only procedure code and was added to the IPO list in 2017.
The code is part of the merit-based incentive payment system (MIPS) program and was added as a Current Procedural Terminology (CPT) code on the first of January 1990. The code’s description changed in 2002, 2009, and 2016.
00563 CPT Code
00563 CPT Code Description: CPT 00563 can be reported if a health provider performs anesthesia services for a patient undergoing a procedure on;
- remarkable vessels of the chest;
- the pericardial sac; and
- the heart.
Examples of great chest vessels are major pulmonary vessels, the aorta, and its major branches.
Report 00563 only if a pump oxygenator is required to take on the work of the lungs and heart and the procedure involves hypothermic circulatory arrest. This cools the body to stop blood circulation without danger to the patient undergoing the procedure.
00563 is part of the merit-based incentive payment system (MIPS) program and was added as a Current Procedural Terminology (CPT) code on the first of January 2001. The description of the code was updated in 2002 to the current version.
00566 CPT Code
00566 CPT Code Description: CPT 00566 can be reported if a health provider performs anesthesia services for a patient undergoing a coronary artery bypass graft procedure.
Report this code only if a pump oxygenator is not required to take on the work of the lungs and heart. Report CPT 00567 if a pump oxygenator is required.
CPT code 00566 is part of the merit-based incentive payment system (MIPS) program and was added as a Current Procedural Terminology (CPT) code on the first of January 2009. The description was changed to the current version in 2001.
00567 CPT Code
00567 CPT Code Description: CPT 00567 can be reported if a health provider performs anesthesia services for a patient undergoing a coronary artery bypass graft procedure.
Report this code only if a pump oxygenator is required to take on the work of the lungs and heart. Report CPT 00566 if a pump oxygenator is not required.
The code is part of the merit-based incentive payment system (MIPS) program and was added as a Current Procedural Terminology (CPT) code on the first of January 2009. The description of the code has never changed.
CPT 00567 is an inpatient-only procedure code added to the IPO list 2017.
00580 CPT Code
00580 CPT Code Description: CPT 00580 can be reported if a health provider performs anesthesia services for a patient undergoing a transplant of the heart and lungs or only the heart.
CPT 00580 is an inpatient-only procedure code (added in 2017) and is part of the merit-based incentive payment system (MIPS) program. It was added as a Current Procedural Terminology (CPT) code on the first of January 1990.
