How To Use CPT Code 00104

cpt 00104 describes the anesthesia services provided for patients undergoing electroconvulsive therapy (ECT). This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00104.

1. What is cpt 00104?

cpt 00104 is used to describe the anesthesia services provided to patients undergoing electroconvulsive therapy (ECT). Anesthesia providers perform a pre-operative evaluation of the patient and then induce and monitor the patient during the ECT procedure. They also document the types and amounts of medications administered, the monitoring used, patient responses, and the start and stop times of anesthesia care. After the procedure, the anesthesia provider oversees the patient’s transfer to post-anesthesia care.

2. Official Description

The official description of cpt 00104 is: ‘Anesthesia for electroconvulsive therapy.’

3. Procedure

The anesthesia provider begins by performing a pre-operative evaluation of the patient. They then induce the patient and monitor them during the electroconvulsive therapy procedure, which is performed by a different provider. The anesthesia provider documents the medications administered, the monitoring used, patient responses, and the start and stop times of anesthesia care. After the procedure, the anesthesia provider oversees the patient’s transfer to post-anesthesia care.

4. Qualifying circumstances

cpt 00104 is used for patients undergoing electroconvulsive therapy (ECT). There are no specific qualifying circumstances associated with this code.

5. When to use cpt code 00104

cpt 00104 should be used when providing anesthesia services for patients undergoing electroconvulsive therapy (ECT). It is important to ensure that the anesthesia provider performs a pre-operative evaluation, induces and monitors the patient during the procedure, and oversees the patient’s transfer to post-anesthesia care.

6. Documentation requirements

To support a claim for cpt 00104, the anesthesia provider must document the following information:

• Pre-operative evaluation of the patient
• Types and amounts of medications administered
• Monitoring used during the procedure
• Patient responses during anesthesia care
• Start and stop times of anesthesia care
• Transfer of the patient to post-anesthesia care

7. Billing guidelines

When billing for cpt 00104, ensure that the anesthesia provider performs a pre-operative evaluation, induces and monitors the patient during the electroconvulsive therapy procedure, and oversees the patient’s transfer to post-anesthesia care. There are no specific billing guidelines associated with this code.

8. Historical information

cpt 00104 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. An anesthesia provider performing anesthesia services for a patient undergoing electroconvulsive therapy for the treatment of severe depression.
2. An anesthesia provider administering anesthesia to a patient receiving electroconvulsive therapy for the management of bipolar disorder.
3. An anesthesia provider monitoring a patient undergoing electroconvulsive therapy for the treatment of schizophrenia.
4. An anesthesia provider inducing and monitoring a patient receiving electroconvulsive therapy for the management of catatonia.
5. An anesthesia provider overseeing the transfer of a patient to post-anesthesia care after electroconvulsive therapy for the treatment of obsessive-compulsive disorder.
6. An anesthesia provider performing a pre-operative evaluation of a patient scheduled to undergo electroconvulsive therapy for the management of post-traumatic stress disorder.
7. An anesthesia provider documenting the start and stop times of anesthesia care during electroconvulsive therapy for the treatment of anxiety disorder.
8. An anesthesia provider administering medications to a patient receiving electroconvulsive therapy for the management of substance use disorder.
9. An anesthesia provider monitoring the patient’s vital signs during electroconvulsive therapy for the treatment of eating disorders.
10. An anesthesia provider overseeing the patient’s transfer to post-anesthesia care after electroconvulsive therapy for the management of personality disorders.