How To Use CPT Code 00214

cpt 00214 describes anesthesia services for intracranial procedures involving burr holes, including ventriculography. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00214.

1. What is cpt 00214?

cpt 00214 is used to describe anesthesia services provided by an anesthesia provider for intracranial procedures involving burr holes, including ventriculography. These procedures are typically performed to diagnose or treat conditions affecting the brain. The anesthesia provider evaluates the patient before the procedure, administers anesthesia during the procedure, and ensures the patient’s safety and comfort throughout the process.

2. Official Description

The official description of cpt 00214 is: ‘Anesthesia for intracranial procedures; burr holes, including ventriculography.’

3. Procedure

1. The anesthesia provider performs a pre-operative evaluation of the patient to assess their overall health and determine the appropriate anesthesia plan.
2. The patient is induced with anesthesia, which may involve the administration of medications to induce unconsciousness and pain relief.
3. The anesthesia provider monitors the patient’s vital signs, such as heart rate, blood pressure, and oxygen levels, throughout the procedure.
4. The anesthesia provider ensures the patient remains in a safe and stable condition during the intracranial procedures, including burr holes and ventriculography, performed by another provider.
5. The anesthesia provider documents the medications administered, monitoring used, patient responses, and the start and stop times of anesthesia care.
6. After the procedure, the anesthesia provider oversees the patient’s transfer to the post-anesthesia care unit for recovery.

4. Qualifying circumstances

cpt 00214 is used for patients undergoing intracranial procedures involving burr holes, including ventriculography. These procedures are typically performed to diagnose or treat conditions affecting the brain, such as tumors, hemorrhages, or hydrocephalus. The anesthesia provider must ensure the patient’s safety and comfort during the procedure and monitor their vital signs closely. The use of additional monitoring techniques, such as capnography, mass spectrometry, or oximetry, may be necessary depending on the patient’s condition and the complexity of the procedure.

5. When to use cpt code 00214

cpt 00214 should be used when an anesthesia provider is involved in intracranial procedures that require burr holes, including ventriculography. This code is appropriate when the anesthesia provider performs the necessary pre-operative evaluation, administers anesthesia during the procedure, and ensures the patient’s safety and comfort throughout the process. It is important to note that cpt 00214 should not be reported if the anesthesia services are not directly related to intracranial procedures involving burr holes and ventriculography.

6. Documentation requirements

To support a claim for cpt 00214, the anesthesia provider must document the following information:

• Pre-operative evaluation of the patient
• Medications administered for anesthesia induction and maintenance
• Monitoring techniques used during the procedure
• Patient responses and vital signs throughout the procedure
• Start and stop times of anesthesia care
• Any additional monitoring techniques used, such as capnography, mass spectrometry, or oximetry
• Transfer of the patient to the post-anesthesia care unit

7. Billing guidelines

When billing for cpt 00214, ensure that the anesthesia services are directly related to intracranial procedures involving burr holes and ventriculography. The anesthesia provider should document the necessary information to support the claim, including the pre-operative evaluation, medications administered, monitoring used, patient responses, and start and stop times of anesthesia care. It is important to follow the specific billing guidelines of the payer, including the use of appropriate modifiers and documentation of any additional monitoring techniques used.

8. Historical information

cpt 00214 was added to the Current Procedural Terminology system on January 1, 1990. The code was later added to the Inpatient Only (IPO) list for Medicare reimbursement in 2017.

9. Examples

1. An anesthesia provider administering anesthesia for a patient undergoing a burr hole procedure to remove a brain tumor.
2. An anesthesia provider monitoring a patient’s vital signs during a ventriculography procedure to assess cerebrospinal fluid flow.
3. An anesthesia provider ensuring the patient’s comfort and safety during a burr hole procedure to drain a subdural hematoma.
4. An anesthesia provider administering anesthesia to a patient undergoing a ventriculography procedure to diagnose hydrocephalus.
5. An anesthesia provider monitoring a patient’s anesthesia depth during a burr hole procedure to treat an intracranial infection.
6. An anesthesia provider overseeing the patient’s transfer to the post-anesthesia care unit after a ventriculography procedure to assess brain function.
7. An anesthesia provider documenting the medications administered and patient responses during a burr hole procedure to relieve intracranial pressure.
8. An anesthesia provider ensuring the patient’s stability during a ventriculography procedure to locate a brain tumor.
9. An anesthesia provider monitoring the patient’s oxygen levels during a burr hole procedure to repair a cerebral aneurysm.
10. An anesthesia provider administering anesthesia for a ventriculography procedure to assess the effectiveness of a shunt in treating hydrocephalus.