How To Use CPT Code 00454

cpt 00454 describes the anesthesia services provided for a patient undergoing a biopsy procedure on the clavicle, which is the collarbone. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00454.

1. What is cpt 00454?

cpt 00454 is used to describe the anesthesia services provided for a patient undergoing a biopsy procedure on the clavicle, which is the collarbone. The anesthesia provider performs a preoperative evaluation of the patient, induces anesthesia, and monitors the patient during the procedure. They also note the medications administered, types of monitoring used, patient responses, and the start and stop times of anesthesia care. After the procedure, the anesthesia provider oversees the patient’s transfer to post-anesthesia care.

2. Official Description

The official description of cpt 00454 is: ‘Anesthesia for procedures on clavicle and scapula; biopsy of clavicle.’

3. Procedure

The anesthesia provider begins by performing a preoperative evaluation of the patient. They then induce anesthesia and monitor the patient during the biopsy procedure on the clavicle. The anesthesia provider documents the medications administered, types of monitoring used, patient responses, and the start and stop times of anesthesia care. After the procedure, the anesthesia provider oversees the patient’s transfer to post-anesthesia care.

4. Qualifying circumstances

cpt 00454 is used for patients undergoing a biopsy procedure on the clavicle. The anesthesia services are provided by a qualified anesthesia provider, such as an anesthesiologist, doctor of medicine or osteopathy, dentist, oral surgeon, podiatrist, certified registered nurse anesthetist (CRNA), or anesthesiologist assistant (AA). The anesthesia provider performs a preoperative evaluation, induces anesthesia, monitors the patient during the procedure, and oversees the patient’s transfer to post-anesthesia care.

5. When to use cpt code 00454

cpt 00454 should be used when a patient is undergoing a biopsy procedure on the clavicle and anesthesia services are provided. It is important to ensure that the anesthesia provider performs a preoperative evaluation, induces anesthesia, monitors the patient during the procedure, and oversees the patient’s transfer to post-anesthesia care.

6. Documentation requirements

To support a claim for cpt 00454, the anesthesia provider must document the following information:

• Patient’s diagnosis and the need for anesthesia services
• Start and stop times of anesthesia care
• Medications administered
• Types of monitoring used
• Patient responses
• Transfer of the patient to post-anesthesia care

7. Billing guidelines

When billing for cpt 00454, ensure that the anesthesia services are provided by a qualified anesthesia provider and that the documentation requirements are met. It is important to follow the guidelines set by the payer for reporting anesthesia services. If additional procedures are performed during the same encounter, assign the most complex anesthesia procedure code with the highest base unit value. Append the appropriate HCPCS modifiers to the anesthesia code as required by the payer.

8. Historical information

cpt 00454 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 a patient undergoing a biopsy procedure on the clavicle.
2. A certified registered nurse anesthetist (CRNA) inducing anesthesia and monitoring a patient during a clavicle biopsy.
3. An oral surgeon overseeing the patient’s transfer to post-anesthesia care after a biopsy procedure on the clavicle.
4. A dentist performing a preoperative evaluation and administering anesthesia for a clavicle biopsy.
5. An anesthesiologist assistant (AA) documenting the start and stop times of anesthesia care during a clavicle biopsy procedure.
6. A doctor of medicine performing a preoperative evaluation and monitoring a patient during a biopsy of the clavicle.
7. A podiatrist administering anesthesia and overseeing the patient’s transfer to post-anesthesia care after a clavicle biopsy.
8. An anesthesiologist documenting the medications administered during a clavicle biopsy procedure.
9. A certified registered nurse anesthetist (CRNA) monitoring the patient’s vital signs during a clavicle biopsy.
10. An oral surgeon performing a preoperative evaluation and inducing anesthesia for a biopsy of the clavicle.