How To Use CPT Code 00142

cpt 00142 describes the anesthesia services provided by a healthcare professional during an eye lens procedure. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00142.

1. What is cpt 00142?

cpt 00142 is used to describe the anesthesia services provided by a healthcare professional during an eye lens procedure. This code is used when the anesthesia provider performs a pre-operative evaluation, induces the patient, monitors the patient during the procedure, administers medications, and oversees the patient’s transfer to post-anesthesia care.

2. Official Description

The official description of cpt 00142 is: ‘Anesthesia for procedures on eye; lens surgery.’

3. Procedure

The anesthesia provider performs a pre-operative evaluation of the patient before the eye lens procedure. They then induce the patient and monitor them throughout the procedure. The anesthesia provider administers any necessary medications and notes the types and amounts used. They also document 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 00142 is used for anesthesia services during an eye lens procedure. It is important to note that the anesthesia provider must be present throughout the procedure and administer any necessary medications. The anesthesia provider should also document any unusual forms of monitoring used, such as capnography, mass spectrometry, or oximetry.

5. When to use cpt code 00142

cpt 00142 should be used when a healthcare professional provides anesthesia services during an eye lens procedure. It is important to ensure that the anesthesia provider is present throughout the procedure and administers any necessary medications. This code should be used for each eye lens procedure requiring anesthesia services.

6. Documentation requirements

To support a claim for cpt 00142, the anesthesia provider must document the following information:

• Pre-operative evaluation of the patient
• Start and stop times of anesthesia care
• Types and amounts of medications administered
• Monitoring services used, such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry
• Any unusual forms of monitoring used
• Transfer of the patient to post-anesthesia care

7. Billing guidelines

When billing for cpt 00142, ensure that the anesthesia provider is present throughout the eye lens procedure and administers any necessary medications. It is important to document the start and stop times of anesthesia care and any unusual forms of monitoring used. If additional anesthesia services are provided during the same encounter, report the most complex anesthesia procedure code with the highest base unit value. Append the appropriate HCPCS modifiers to the anesthesia code as required by the payer.

8. Historical information

cpt 00142 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 during an eye lens procedure for a patient with cataracts.
2. An anesthesia provider administering anesthesia during an eye lens procedure for a patient undergoing refractive lens exchange.
3. An anesthesia provider monitoring a patient’s vital signs during an eye lens procedure for a patient with presbyopia.
4. An anesthesia provider administering medications during an eye lens procedure for a patient with astigmatism.
5. An anesthesia provider overseeing the transfer of a patient to post-anesthesia care after an eye lens procedure for a patient with myopia.
6. An anesthesia provider documenting the start and stop times of anesthesia care during an eye lens procedure for a patient with hyperopia.
7. An anesthesia provider using capnography to monitor a patient’s carbon dioxide levels during an eye lens procedure for a patient with macular degeneration.
8. An anesthesia provider administering mass spectrometry to monitor inhaled and exhaled concentrations of gases during an eye lens procedure for a patient with glaucoma.
9. An anesthesia provider using oximetry to measure the level of oxygen in a patient’s blood during an eye lens procedure for a patient with diabetic retinopathy.
10. An anesthesia provider documenting the administration of medications and monitoring services during an eye lens procedure for a patient with retinitis pigmentosa.