How To Use CPT Code 00174

cpt 00174 describes the anesthesia services provided by a healthcare professional for intraoral procedures, including biopsy and excision of a retropharyngeal tumor. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00174.

1. What is cpt 00174?

cpt 00174 can be used to describe the anesthesia services provided by a healthcare professional for intraoral procedures, specifically for biopsy and excision of a retropharyngeal tumor. This code is used when the anesthesia provider performs a pre-operative evaluation, induces the patient, monitors the patient during the procedure, and oversees the patient’s transfer to post-anesthesia care.

2. Official Description

The official description of cpt 00174 is: ‘Anesthesia for intraoral procedures, including biopsy; excision of retropharyngeal tumor.’

3. Procedure

1. The anesthesia provider performs a pre-operative evaluation of the patient.
2. The anesthesia provider induces the patient and monitors the patient during the intraoral procedure, including biopsy and excision of a retropharyngeal tumor.
3. The anesthesia provider notes any medications administered, forms of monitoring used, patient responses, and the start and stop times of anesthesia care.
4. Following the procedure, the anesthesia provider oversees the patient’s transfer to post-anesthesia care.

4. Qualifying circumstances

Patients eligible to receive cpt 00174 services are those undergoing intraoral procedures, specifically biopsy and excision of a retropharyngeal tumor. The anesthesia services must be provided by a qualified anesthesia provider, such as an anesthesiologist, doctor of medicine or osteopathy, dentist, oral surgeon, or podiatrist. The anesthesia provider must perform a pre-operative evaluation, induce the patient, monitor the patient during the procedure, and oversee the patient’s transfer to post-anesthesia care.

5. When to use cpt code 00174

cpt 00174 should be used when a healthcare professional provides anesthesia services for intraoral procedures, including biopsy and excision of a retropharyngeal tumor. This code should be used for each instance of anesthesia care provided for these specific procedures.

6. Documentation requirements

To support a claim for cpt 00174, the anesthesia provider must document the following information:

• Patient’s diagnosis and the need for anesthesia services
• Specific intraoral procedures performed, including biopsy and excision of a retropharyngeal tumor
• Start and stop times of anesthesia care
• Types and amounts of medications administered
• Forms of monitoring used, such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry
• Patient responses and any complications or adverse events
• Signature of the anesthesia provider

7. Billing guidelines

When billing for cpt 00174, ensure that the anesthesia services are provided by a qualified anesthesia provider and are specifically for intraoral procedures, including biopsy and excision of a retropharyngeal tumor. Follow the appropriate coding and billing guidelines for anesthesia services, including the use of modifiers as required by payers. It is important to accurately document the start and stop times of anesthesia care to determine the total units to bill on the claim form.

8. Historical information

cpt 00174 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 the excision of a retropharyngeal tumor in a patient undergoing an intraoral procedure.
2. A dentist administering anesthesia for a biopsy of an oral lesion in a patient.
3. An oral surgeon performing an excision of a retropharyngeal tumor under anesthesia for a patient.
4. A podiatrist providing anesthesia services for a biopsy of an oral lesion in a patient.
5. A doctor of medicine performing an excision of a retropharyngeal tumor under anesthesia for a patient undergoing an intraoral procedure.
6. An anesthesiologist overseeing the anesthesia care for a biopsy of an oral lesion in a patient.
7. A dentist administering anesthesia for the excision of a retropharyngeal tumor in a patient undergoing an intraoral procedure.
8. An oral surgeon performing a biopsy of an oral lesion under anesthesia for a patient.
9. A podiatrist providing anesthesia services for the excision of a retropharyngeal tumor in a patient undergoing an intraoral procedure.
10. A doctor of medicine overseeing the anesthesia care for a biopsy of an oral lesion in a patient.