How To Use CPT Code 00176
cpt 00176 describes the anesthesia services provided by a healthcare professional for intraoral procedures, including biopsy and radical surgery. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00176.
1. What is cpt 00176?
cpt 00176 can be used to describe the anesthesia services provided by a healthcare professional for intraoral procedures, such as biopsy and radical surgery. 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 00176 is: ‘Anesthesia for intraoral procedures, including biopsy; radical surgery.’
3. Procedure
- The anesthesia provider performs a pre-operative evaluation of the patient.
- The anesthesia provider induces the patient and monitors the patient during the intraoral procedure, including biopsy and radical surgery.
- The anesthesia provider notes the types and amounts of medications administered, all forms of monitoring used, patient responses, and the start and stop times of anesthesia care.
- Following the procedure, the anesthesia provider oversees the patient’s transfer to post-anesthesia care.
4. Qualifying circumstances
Patients eligible to receive cpt 00176 services are those undergoing intraoral procedures, including biopsy and radical surgery. 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 00176
It is appropriate to bill cpt 00176 when a healthcare professional provides anesthesia services for intraoral procedures, including biopsy and radical surgery. This code should be used for each intraoral procedure performed by the anesthesia provider.
6. Documentation requirements
To support a claim for cpt 00176, the anesthesia provider must document the following information:
- Pre-operative evaluation of the patient
- Types and amounts of medications administered
- Forms of monitoring used
- Patient responses
- Start and stop times of anesthesia care
- Transfer of the patient to post-anesthesia care
7. Billing guidelines
When billing for cpt 00176, ensure that the anesthesia provider performs a pre-operative evaluation, induces the patient, monitors the patient during the intraoral procedure, and oversees the patient’s transfer to post-anesthesia care. Report cpt 00176 separately for each intraoral procedure performed by the anesthesia provider.
8. Historical information
cpt 00176 was added to the Current Procedural Terminology system on January 1, 1990. It was later added to the Inpatient Only (IPO) list for Medicare in 2017.
9. Examples
- An anesthesia provider performing anesthesia services for a patient undergoing a biopsy of the tongue.
- An anesthesia provider providing anesthesia services for a patient undergoing radical surgery on the floor of the mouth.
- An anesthesia provider administering anesthesia for a patient undergoing a biopsy of the salivary glands.
- An anesthesia provider overseeing anesthesia care for a patient undergoing radical surgery on the palate.
- An anesthesia provider inducing and monitoring a patient during a biopsy procedure on the head and neck.
- An anesthesia provider performing anesthesia services for a patient undergoing radical surgery on the tongue.
- An anesthesia provider administering anesthesia for a patient undergoing a biopsy of the floor of the mouth.
- An anesthesia provider overseeing anesthesia care for a patient undergoing radical surgery on the salivary glands.
- An anesthesia provider inducing and monitoring a patient during a biopsy procedure on the palate.
- An anesthesia provider performing anesthesia services for a patient undergoing radical surgery on the head and neck.
