How To Use CPT Code 00220

cpt 00220 describes the anesthesia services provided by a healthcare professional during intracranial procedures for cerebrospinal fluid shunting. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00220.

1. What is cpt 00220?

cpt 00220 is used to describe the anesthesia services provided by a healthcare professional during intracranial procedures for cerebrospinal fluid shunting. This code is used when the anesthesia provider performs a pre-operative evaluation of the patient, induces the patient, monitors the patient during the procedure, and oversees the patient’s transfer to post-anesthesia care. The anesthesia provider also documents the types and amounts of medications administered, all forms of monitoring used, patient responses, and the start and stop times of anesthesia care.

2. Official Description

The official description of cpt 00220 is: ‘Anesthesia for intracranial procedures; cerebrospinal fluid shunting procedures.’

3. Procedure

The anesthesia provider performs a pre-operative evaluation of the patient. They then induce the patient and monitor them during the intracranial procedure for cerebrospinal fluid shunting that a different provider performs. The anesthesia provider notes any 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

cpt 00220 is used for anesthesia services provided during intracranial procedures for cerebrospinal fluid shunting. This may include procedures such as the placement of a shunt to control the movement of fluid from one area to another. The anesthesia provider must perform a pre-operative evaluation of the patient and be present during the procedure to monitor the patient’s vital signs and administer any necessary medications.

5. When to use cpt code 00220

cpt 00220 should be used when a healthcare professional provides anesthesia services during intracranial procedures for cerebrospinal fluid shunting. This code should be reported for each procedure performed. It is important to ensure that the anesthesia provider performs a pre-operative evaluation, induces the patient, monitors them during the procedure, and oversees their transfer to post-anesthesia care.

6. Documentation requirements

To support a claim for cpt 00220, 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 00220, ensure that the anesthesia provider performs a pre-operative evaluation, induces the patient, monitors them during the procedure, and oversees their transfer to post-anesthesia care. This code should be reported for each intracranial procedure for cerebrospinal fluid shunting performed. It is important to follow the specific billing guidelines of the payer, including any required modifiers or additional documentation.

8. Historical information

cpt 00220 was added to the Current Procedural Terminology system on January 1, 1990. There have been historical changes to the code, including a code change on January 1, 2002, from ‘Anesthesia for intracranial procedures; spinal fluid shunting procedures’ to ‘Anesthesia for intracranial procedures; cerebrospinal fluid shunting procedures.’

9. Examples

1. An anesthesia provider performing anesthesia services during a cerebrospinal fluid shunting procedure for a patient with hydrocephalus.
2. An anesthesia provider administering anesthesia during a cerebrospinal fluid shunting procedure for a patient with normal pressure hydrocephalus.
3. An anesthesia provider monitoring a patient during a cerebrospinal fluid shunting procedure for a patient with pseudotumor cerebri.
4. An anesthesia provider overseeing the transfer of a patient to post-anesthesia care following a cerebrospinal fluid shunting procedure for a patient with arachnoid cyst.
5. An anesthesia provider documenting the start and stop times of anesthesia care during a cerebrospinal fluid shunting procedure for a patient with a brain tumor.
6. An anesthesia provider performing a pre-operative evaluation of a patient prior to a cerebrospinal fluid shunting procedure for a patient with normal pressure hydrocephalus.
7. An anesthesia provider administering medications during a cerebrospinal fluid shunting procedure for a patient with hydrocephalus.
8. An anesthesia provider monitoring the patient’s vital signs during a cerebrospinal fluid shunting procedure for a patient with pseudotumor cerebri.
9. An anesthesia provider documenting the patient’s response to anesthesia during a cerebrospinal fluid shunting procedure for a patient with arachnoid cyst.
10. An anesthesia provider overseeing the transfer of a patient to post-anesthesia care following a cerebrospinal fluid shunting procedure for a patient with a brain tumor.