How To Use CPT Code 00532

cpt 00532 describes the anesthesia services provided for accessing central venous circulation. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00532.

1. What is cpt 00532?

cpt 00532 is used to describe the anesthesia services provided for accessing central venous circulation. This refers to the major veins that drain blood into the heart. Another healthcare provider may use this access point for various cardiac treatment or monitoring purposes. The anesthesia provider performs a pre-operative evaluation of the patient, induces anesthesia, and monitors the patient during the procedure of gaining access to the central venous circulation.

2. Official Description

The official description of cpt 00532 is: ‘Anesthesia for access to central venous circulation.’

3. Procedure

The anesthesia provider performs a pre-operative evaluation of the patient. They then induce anesthesia and monitor the patient during the procedure of gaining access to the central venous circulation. The anesthesia provider notes any medications administered, forms 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 00532 is used when anesthesia services are provided for accessing central venous circulation. This may be necessary for various cardiac treatment or monitoring purposes. The anesthesia provider must document the patient’s health status and any qualifying circumstances, such as extreme age or the utilization of total body hypothermia or controlled hypotension.

5. When to use cpt code 00532

cpt 00532 should be used when anesthesia services are provided for accessing central venous circulation. It is important to ensure that the documentation supports the medical necessity of the procedure and the anesthesia services provided.

6. Documentation requirements

To support a claim for cpt 00532, the anesthesia provider must document the following information:

• Patient’s pre-operative evaluation
• Start and stop times of anesthesia care
• Medications administered
• Forms of monitoring used
• Patient responses
• Transfer of the patient to post-anesthesia care

7. Billing guidelines

When billing for cpt 00532, ensure that the anesthesia provider’s documentation supports the medical necessity of the procedure and the anesthesia services provided. Append the appropriate HCPCS modifiers to the anesthesia code for Medicare and other payers requiring modifiers to describe anesthesia services. Medicare reimburses anesthesia services for qualified anesthesiologists, doctors of medicine or osteopathy, dentists, oral surgeons, podiatrists, certified registered nurse anesthetists (CRNAs), and anesthesiologist assistants (AAs) working under supervision.

8. Historical information

cpt 00532 was added to the Current Procedural Terminology system on January 1, 1992. There have been no updates to the code since its addition.

9. Examples

1. An anesthesia provider performing anesthesia services for accessing central venous circulation for a patient undergoing cardiac catheterization.
2. An anesthesia provider administering anesthesia for accessing central venous circulation for a patient receiving chemotherapy through a central venous catheter.
3. An anesthesia provider providing anesthesia services for accessing central venous circulation for a patient undergoing hemodialysis.
4. An anesthesia provider performing anesthesia for accessing central venous circulation for a patient receiving total parenteral nutrition.
5. An anesthesia provider administering anesthesia for accessing central venous circulation for a patient undergoing a pacemaker implantation.
6. An anesthesia provider providing anesthesia services for accessing central venous circulation for a patient undergoing a Swan-Ganz catheter insertion.
7. An anesthesia provider performing anesthesia for accessing central venous circulation for a patient undergoing a central venous pressure monitoring.
8. An anesthesia provider administering anesthesia for accessing central venous circulation for a patient undergoing a central venous line placement.
9. An anesthesia provider providing anesthesia services for accessing central venous circulation for a patient undergoing a central venous access for hemodialysis.
10. An anesthesia provider performing anesthesia for accessing central venous circulation for a patient undergoing a central venous access for chemotherapy administration.