How To Use CPT Code 00164

cpt 00164 describes the anesthesia services provided for a patient undergoing a soft tissue biopsy of the nose and accessory sinuses. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00164.

1. What is cpt 00164?

cpt 00164 is used to describe the anesthesia services provided for a patient undergoing a soft tissue biopsy of the nose and accessory sinuses. This code is used when an anesthesia provider performs a pre-operative evaluation, induces the patient, monitors the patient during the biopsy procedure, and oversees the patient’s transfer to post-anesthesia care.

2. Official Description

The official description of cpt 00164 is: ‘Anesthesia for procedures on nose and accessory sinuses; biopsy, soft tissue.’

3. Procedure

The anesthesia provider begins by performing a pre-operative evaluation of the patient. They then induce the patient and monitor them throughout the soft tissue biopsy procedure of the nose and accessory sinuses. The anesthesia provider documents the types and amounts of medications administered, the forms of 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 00164 is used for patients undergoing a soft tissue biopsy of the nose and accessory sinuses. The anesthesia services are provided by a qualified anesthesia provider, such as an anesthesiologist, doctor of medicine or osteopathy, dentist, oral surgeon, podiatrist, certified registered nurse anesthetist (CRNA), or anesthesiologist assistant (AA). The anesthesia services include the administration of fluids and/or blood as necessary and standard monitoring services such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry.

5. When to use cpt code 00164

cpt 00164 should be used when a patient is undergoing a soft tissue biopsy of the nose and accessory sinuses and anesthesia services are provided by a qualified anesthesia provider. This code should be reported for each instance of anesthesia care provided during the procedure.

6. Documentation requirements

To support a claim for cpt 00164, the anesthesia provider must document the following information:

• Patient’s pre-operative evaluation
• Types and amounts of medications administered
• Forms of monitoring used
• Patient responses
• Start and stop times of anesthesia care
• Details of the soft tissue biopsy procedure
• Any complications or unusual circumstances
• Signature of the anesthesia provider

7. Billing guidelines

When billing for cpt 00164, ensure that the anesthesia services are provided by a qualified anesthesia provider and that the services are related to a soft tissue biopsy of the nose and accessory sinuses. Follow the appropriate billing guidelines for anesthesia services, including the use of modifiers if required by the payer. It is important to accurately document the anesthesia time and report the total units on the claim form.

8. Historical information

cpt 00164 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 anesthesiologist providing anesthesia services for a patient undergoing a soft tissue biopsy of the nose and accessory sinuses.
2. A certified registered nurse anesthetist (CRNA) administering anesthesia to a patient during a soft tissue biopsy of the nose and accessory sinuses.
3. An oral surgeon overseeing the anesthesia care for a patient undergoing a soft tissue biopsy of the nose and accessory sinuses.
4. A dentist providing anesthesia services for a patient during a soft tissue biopsy of the nose and accessory sinuses.
5. An anesthesiologist assistant (AA) assisting in the administration of anesthesia for a patient undergoing a soft tissue biopsy of the nose and accessory sinuses.
6. A podiatrist administering anesthesia to a patient during a soft tissue biopsy of the nose and accessory sinuses.
7. An anesthesiologist monitoring a patient’s anesthesia during a soft tissue biopsy of the nose and accessory sinuses.
8. A certified registered nurse anesthetist (CRNA) overseeing the anesthesia care for a patient undergoing a soft tissue biopsy of the nose and accessory sinuses.
9. An oral surgeon providing anesthesia services for a patient during a soft tissue biopsy of the nose and accessory sinuses.
10. A dentist administering anesthesia to a patient during a soft tissue biopsy of the nose and accessory sinuses.