How To Use CPT Code 00522

cpt 00522 describes the anesthesia services provided by a healthcare professional for a closed chest procedure involving a needle biopsy of the pleura. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00522.

1. What is cpt 00522?

cpt 00522 is used to describe the anesthesia services provided by a healthcare professional for a closed chest procedure involving a needle biopsy of the pleura. This code is used when the anesthesia provider performs a pre-operative evaluation, induces the patient, monitors the patient during the procedure, administers medications, and oversees the patient’s transfer to post-anesthesia care.

2. Official Description

The official description of cpt 00522 is: ‘Anesthesia for closed chest procedures; needle biopsy of pleura.’

3. Procedure

The anesthesia provider performs the following steps during the closed chest procedure involving a needle biopsy of the pleura:

1. Pre-operative evaluation of the patient
2. Induction of the patient
3. Monitoring the patient during the procedure
4. Administration of medications
5. Noting the start and stop times of anesthesia care
6. Overseeing the patient’s transfer to post-anesthesia care

4. Qualifying circumstances

cpt 00522 is used for anesthesia services provided during a closed chest procedure involving a needle biopsy of the pleura. The patient must undergo this procedure, and the anesthesia provider must perform the necessary evaluation, induction, monitoring, medication administration, and post-anesthesia care. The anesthesia services may include standard monitoring such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry.

5. When to use cpt code 00522

cpt 00522 should be used when a healthcare professional provides anesthesia services for a closed chest procedure involving a needle biopsy of the pleura. This code is appropriate when the anesthesia provider performs the necessary evaluation, induction, monitoring, medication administration, and post-anesthesia care for the patient undergoing this procedure.

6. Documentation requirements

To support a claim for cpt 00522, the anesthesia provider must document the following information:

• Pre-operative evaluation of the patient
• Start and stop times of anesthesia care
• Types and amounts of medications administered
• Forms of monitoring used
• Patient responses
• Transfer of the patient to post-anesthesia care

7. Billing guidelines

When billing for cpt 00522, ensure that the anesthesia provider performs the necessary evaluation, induction, monitoring, medication administration, and post-anesthesia care for the closed chest procedure involving a needle biopsy of the pleura. Follow the appropriate billing guidelines for anesthesia services and include any required modifiers or additional codes as necessary.

8. Historical information

cpt 00522 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 anesthesia provider performing anesthesia services for a closed chest needle biopsy of the pleura for a patient with suspected lung cancer.
2. An anesthesia provider administering anesthesia for a closed chest needle biopsy of the pleura to investigate a patient’s unexplained pleural effusion.
3. An anesthesia provider providing anesthesia services for a closed chest needle biopsy of the pleura to diagnose a patient’s suspected mesothelioma.
4. An anesthesia provider performing anesthesia for a closed chest needle biopsy of the pleura to determine the cause of a patient’s recurrent pleuritic chest pain.
5. An anesthesia provider administering anesthesia for a closed chest needle biopsy of the pleura to investigate a patient’s suspected tuberculosis infection.
6. An anesthesia provider providing anesthesia services for a closed chest needle biopsy of the pleura to diagnose a patient’s suspected pleural mesothelial cyst.
7. An anesthesia provider performing anesthesia for a closed chest needle biopsy of the pleura to investigate a patient’s suspected pleural metastasis.
8. An anesthesia provider administering anesthesia for a closed chest needle biopsy of the pleura to determine the cause of a patient’s unexplained pleural thickening.
9. An anesthesia provider providing anesthesia services for a closed chest needle biopsy of the pleura to diagnose a patient’s suspected pleural fibroma.
10. An anesthesia provider performing anesthesia for a closed chest needle biopsy of the pleura to investigate a patient’s suspected pleural lipoma.