How To Use CPT Code 00539

cpt 00539 describes the anesthesia services provided by a healthcare professional for a patient undergoing tracheobronchial reconstruction. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00539.

1. What is cpt 00539?

cpt 00539 is used to describe the anesthesia services provided by a healthcare professional for a patient undergoing tracheobronchial reconstruction. This procedure involves the repair of injury or malformations in the windpipe and its subdivisions. The anesthesia provider performs a pre-operative evaluation of the patient, induces anesthesia, monitors the patient during the procedure, and oversees the patient’s transfer to post-anesthesia care.

2. Official Description

The official description of cpt 00539 is: ‘Anesthesia for tracheobronchial reconstruction.’

3. Procedure

The anesthesia provider performs the following steps during the procedure of tracheobronchial reconstruction:

1. Pre-operative evaluation of the patient
2. Induction of anesthesia
3. Monitoring the patient during the procedure
4. Administration of medications and fluids as necessary
5. Use of standard monitoring services such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry
6. Overseeing the patient’s transfer to post-anesthesia care

4. Qualifying circumstances

cpt 00539 is used for patients undergoing tracheobronchial reconstruction. This procedure is performed to repair injury or malformations in the windpipe and its subdivisions. The anesthesia provider must be qualified to administer anesthesia under state law and may include an anesthesiologist, doctor of medicine or osteopathy, dentist, oral surgeon, podiatrist, certified registered nurse anesthetist (CRNA), or anesthesiologist assistant (AA).

5. When to use cpt code 00539

cpt 00539 should be used when a patient is undergoing tracheobronchial reconstruction and anesthesia services are provided by a qualified healthcare professional. This code should be reported for each instance of anesthesia care provided during the procedure.

6. Documentation requirements

To support a claim for cpt 00539, 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 during anesthesia care
• Transfer of the patient to post-anesthesia care

7. Billing guidelines

When billing for cpt 00539, ensure that the anesthesia provider is qualified to administer anesthesia under state law and that the procedure performed is tracheobronchial reconstruction. Use the appropriate HCPCS modifiers for Medicare and other payers requiring them to describe anesthesia services rendered. Report the total units of time in block 24G of the CMS-1500 form.

8. Historical information

cpt 00539 was added to the Current Procedural Terminology system on January 1, 2003. There have been no updates to the code since its addition.

9. Examples

1. An anesthesiologist providing anesthesia services for a patient undergoing tracheobronchial reconstruction.
2. A certified registered nurse anesthetist (CRNA) administering anesthesia to a patient during tracheobronchial reconstruction.
3. A dentist qualified to administer anesthesia under state law providing anesthesia services for a patient undergoing tracheobronchial reconstruction.
4. An oral surgeon overseeing the administration of anesthesia to a patient during tracheobronchial reconstruction.
5. An anesthesiologist assistant (AA) working under the supervision of an anesthesiologist providing anesthesia services for a patient undergoing tracheobronchial reconstruction.
6. A doctor of medicine or osteopathy other than an anesthesiologist administering anesthesia to a patient during tracheobronchial reconstruction.
7. A podiatrist qualified to administer anesthesia under state law providing anesthesia services for a patient undergoing tracheobronchial reconstruction.
8. An anesthesiologist monitoring a patient during tracheobronchial reconstruction.
9. A certified registered nurse anesthetist (CRNA) overseeing the transfer of a patient to post-anesthesia care after tracheobronchial reconstruction.
10. An oral surgeon documenting the types and amounts of medications administered during anesthesia care for tracheobronchial reconstruction.