How To Use CPT Code 00406

cpt 00406 describes anesthesia services provided during procedures on the integumentary system of the extremities, anterior trunk, and perineum, including radical or modified radical procedures on the breast with internal mammary node dissection. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00406.

1. What is cpt 00406?

cpt 00406 is a code used to describe anesthesia services provided during procedures on the integumentary system of the extremities, anterior trunk, and perineum. This includes radical or modified radical procedures on the breast with internal mammary node dissection. Anesthesia services are performed by an anesthesia provider to ensure the patient’s comfort and safety during the surgical procedure.

2. Official Description

The official description of cpt 00406 is: ‘Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; radical or modified radical procedures on breast with internal mammary node dissection.’

3. Procedure

The anesthesia provider performs a pre-operative evaluation of the patient. They then induce the patient and monitor them during the radical or modified radical procedure on the breast with internal mammary node dissection, which is performed by a different provider. The anesthesia provider administers medications, monitors the patient’s vital signs, and ensures their comfort and safety throughout the procedure. After the procedure, the anesthesia provider oversees the patient’s transfer to the post-anesthesia care unit.

4. Qualifying circumstances

cpt 00406 is used for anesthesia services provided during procedures on the integumentary system of the extremities, anterior trunk, and perineum, including radical or modified radical procedures on the breast with internal mammary node dissection. The patient must undergo a surgical procedure in these areas, and the anesthesia services must be provided by a qualified anesthesia provider.

5. When to use cpt code 00406

cpt 00406 should be used when anesthesia services are provided during procedures on the integumentary system of the extremities, anterior trunk, and perineum, including radical or modified radical procedures on the breast with internal mammary node dissection. It is important to ensure that the anesthesia services are documented accurately and that the anesthesia provider’s time is properly recorded.

6. Documentation requirements

To support a claim for cpt 00406, the anesthesia provider must document the following information:

• Patient’s pre-operative evaluation
• Start and stop times of anesthesia care
• Types and amounts of medications administered
• Monitoring used during the procedure
• Patient responses and any complications
• Transfer of the patient to the post-anesthesia care unit

7. Billing guidelines

When billing for cpt 00406, ensure that the anesthesia services are provided by a qualified anesthesia provider and that the procedure meets the criteria for this code. It is important to accurately document the anesthesia time and any additional services provided. cpt 00406 should not be reported if other anesthesia codes have already been used for the same patient within the same encounter.

8. Historical information

cpt 00406 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Similar codes to cpt 00406

Five similar codes to cpt 00406 include:

• cpt 00400: Anesthesia for procedures on the thorax (chest wall and shoulder girdle)
• cpt 00402: Anesthesia for procedures on the thorax (esophagus, trachea, bronchi, mediastinum, and diaphragm)
• cpt 00410: Anesthesia for procedures on the integumentary system on the extremities, anterior trunk, and perineum; not otherwise specified
• cpt 00450: Anesthesia for procedures on the integumentary system on the extremities, anterior trunk, and perineum; not otherwise specified; radical or modified radical procedures on the breast
• cpt 00452: Anesthesia for procedures on the integumentary system on the extremities, anterior trunk, and perineum; not otherwise specified; radical or modified radical procedures on the breast with internal mammary node dissection

9. Examples

1. An anesthesia provider administering anesthesia during a radical mastectomy with internal mammary node dissection.
2. An anesthesia provider providing anesthesia services during a modified radical mastectomy with internal mammary node dissection.
3. An anesthesia provider administering anesthesia during a procedure on the perineum.
4. An anesthesia provider providing anesthesia services during a procedure on the anterior trunk.
5. An anesthesia provider administering anesthesia during a procedure on the extremities.
6. An anesthesia provider providing anesthesia services during a procedure on the breast with internal mammary node dissection.
7. An anesthesia provider administering anesthesia during a radical procedure on the breast.
8. An anesthesia provider providing anesthesia services during a modified radical procedure on the breast.
9. An anesthesia provider administering anesthesia during a procedure on the extremities and anterior trunk.
10. An anesthesia provider providing anesthesia services during a procedure on the perineum and anterior trunk.