CPT 00600 – CPT 00670 (Anesthesia For Procedures On The Spine And Spinal Cord)

Official descriptions and billing guidelines of the CPT codes for anesthesia services during procedures on the spine and spinal cord.

CPT Code 00600

00600 CPT Code Description: CPT 00600 can be billed for health professionals performing anesthesia services to patients during procedures on the cervical spine and spinal cord.

Report code 00600 only if the services are not described by more specific CPT codes.

Don’t report CPT code 00600 for percutaneous image guided spine and spinal cord anesthesia procedures. Instead, use CPT 01937, CPT 01938, CPT 01939, CPT 01940, CPT 01941 or CPT 01942.

CPT code 00600 is part of the merit based incentive payment system program. It was added as a Current Procedural Terminology (CPT) code on the first of January 1990. The code description has never changed since.

CPT Code 00604

00604 CPT Code Description: CPT 00604 can be billed for health professionals performing anesthesia services to patients during procedures on the cervical spine and spinal cord.

Report code 00604 only if the services are performed during procedures with patients in a sitting position.

CPT 00604 is an inpatient only procedure code and was added to the IPO list in 2017. It was temporary removed in 2021 and added back to the list in 2022.

CPT code 00604 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. The description was updated on the first of January 2001 to the most current version.

CPT Code 00620

00620 CPT Code Description: CPT 00620 can be billed for health professionals performing anesthesia services to patients during procedures on the thoracic spine.

Report code 00620 only if the anesthesia services during procedures on the thoracic spine are not otherwise specified by more more specific codes.

CPT code 00620 is part of the merit based incentive payment system (MIPS) program. This code was introduced as a Current Procedural Terminology (CPT) code on the first of January 1990 and updated on the first of January 2015.

CPT Code 00625

00625 CPT Code Description: CPT 00625 can be billed for health professionals performing anesthesia services to patients during procedures on the thoracic spine.

The procedure is performed via an anterior transthoracic approach. Only report this code if one lung ventilation is not utilized. Use CPT 00626 instead of CPT 00625 if one lung ventilation is utilized.

This code was introduced as a Current Procedural Terminology (CPT) code on the first of January 2010 and updated on the first of January 2017.

CPT code 00625 is part of the merit based incentive payment system (MIPS) program.

CPT Code 00626

00626 CPT Code Description: CPT 00626 can be billed for health professionals performing anesthesia services to patients during procedures on the thoracic spine.

The procedure is performed via an anterior transthoracic approach. Only report this code if one lung ventilation is utilized. Use CPT 00625 instead of CPT 00626 if one lung ventilation is not utilized.

Don’t report CPT code 00625 for anesthesia for thoracotomy procedures other than spinal. Report CPT 00540 and CPT 00541 instead.

This code was introduced as a Current Procedural Terminology (CPT) code on the first of January 2007 and updated on the first of January 2010.

The 00626 CPT code is part of the merit based incentive payment system (MIPS) program.

CPT Code 00630

00630 CPT Code Description: CPT 00630 can be reported if a health provider provides anesthesia services during procedures in the lumbar region.

Only report CPT code 00630 if there are no more specif codes available that describe anesthesia services during procedures in the lumbar region.

This code was introduced as a Current Procedural Terminology (CPT) code on the first of January 1990 and it has never been updated since.

The 00630 CPT code is part of the merit based incentive payment system (MIPS) program.

CPT Code 00632

00632 CPT Code Description: CPT 00632 can be reported if a health provider provides anesthesia services during procedures in the lumbar region.

This code can only be billed if lumbar sympathectomy is included in the procedure. If not otherwise specified, use CPT 00630 instead.

CPT code 00632 is an inpatient only procedure code (IPO) and was added to the list in 2017.

This 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.

CPT Code 00635

00635 CPT Code Description: CPT 00635 can be reported if a health provider provides anesthesia services during procedures in the lumbar region.

Therapeutic or diagnostic lumbar puncture is included in CPT code 00635 and does not need to be billed separately.

The 00635 CPT code is part of the merit based incentive payment system (MIPS) program. On the first of January 2001 it was added to Current Procedural Terminology (CPT) and the description has never changed.

CPT Code 00640

00640 CPT Code Description: CPT 00640 can be reported if a health provider provides anesthesia services during a procedure to manipulate the spine or for a closed procedure on the;

• lumbar spine;
• cervical spine; or the
• thoracic spine.

The 00640 CPT code is part of the merit based incentive payment system (MIPS) program. On the first of January 2003 it was added to Current Procedural Terminology (CPT) and the description of this code is never updated since.

CPT Code 00670

00670 CPT Code Description: CPT 00670 can be reported if a health provider provides anesthesia services to a patient undergoing extensive spinal and spine cord procedures.

CPT code 00670 includes spinal instrumentation which does not need to be billed separately. Spinal instrumentation is performed with the aim to stabalize the spine with plates and screws. Vascular procedures on blood vessels are included as well.

The 00670 CPT code is part of the merit based incentive payment system (MIPS) program. On the first of January 1990 it was added to Current Procedural Terminology (CPT) and the description of this code is changed in 2001.

CPT code 00670 was temporary on the IPO (Inpatient-Only) list but was taken off in 2019.