How To Use CPT Code 00567

cpt 00567 describes the anesthesia services provided by a healthcare professional during a direct coronary artery bypass grafting procedure, using a pump oxygenator. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00567.

1. What is cpt 00567?

cpt 00567 is used to describe the anesthesia services provided by a healthcare professional during a direct coronary artery bypass grafting procedure. This procedure involves using a pump oxygenator to take on the work of the heart and lungs. The anesthesia provider performs a pre-operative evaluation of the patient, induces and monitors the patient during the procedure, and oversees the patient’s transfer to post-anesthesia care.

2. Official Description

The official description of cpt 00567 is: ‘Anesthesia for direct coronary artery bypass grafting; with pump oxygenator.’

3. Procedure

1. The anesthesia provider performs a pre-operative evaluation of the patient.
2. The anesthesia provider induces the patient and monitors the patient during the direct coronary artery bypass grafting procedure.
3. A pump oxygenator is used to pump and add oxygen to the patient’s blood.
4. The anesthesia provider notes the types and amounts of medications administered, all forms of monitoring used, patient responses, and the start and stop times of anesthesia care.
5. Following the procedure, the anesthesia provider oversees the patient’s transfer to post-anesthesia care.

4. Qualifying circumstances

cpt 00567 is used for patients undergoing a direct coronary artery bypass grafting procedure that requires the use of a pump oxygenator. The anesthesia services are provided by a qualified healthcare professional, 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 must perform a pre-operative evaluation, induce and monitor the patient during the procedure, and oversee the patient’s transfer to post-anesthesia care.

5. When to use cpt code 00567

cpt 00567 should be used when a healthcare professional provides anesthesia services during a direct coronary artery bypass grafting procedure that requires the use of a pump oxygenator. This code should be used for each instance of anesthesia care provided for this specific procedure.

6. Documentation requirements

To support a claim for cpt 00567, the anesthesia provider must document the following information:

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

7. Billing guidelines

When billing for cpt 00567, ensure that the anesthesia services are provided by a qualified healthcare professional and that the procedure involves a direct coronary artery bypass grafting with a pump oxygenator. Follow the specific billing guidelines provided by the payer, including any required modifiers or additional documentation.

8. Historical information

cpt 00567 was added to the Current Procedural Terminology system on January 1, 2009. It was later added to the Inpatient Only (IPO) list for Medicare in 2017.

9. Examples

1. An anesthesiologist providing anesthesia services during a direct coronary artery bypass grafting procedure with a pump oxygenator.
2. A certified registered nurse anesthetist (CRNA) inducing and monitoring a patient during a direct coronary artery bypass grafting procedure with a pump oxygenator.
3. A dentist providing anesthesia services during a direct coronary artery bypass grafting procedure with a pump oxygenator.
4. An oral surgeon overseeing the transfer of a patient to post-anesthesia care following a direct coronary artery bypass grafting procedure with a pump oxygenator.
5. An anesthesiologist assistant (AA) performing a pre-operative evaluation of a patient undergoing a direct coronary artery bypass grafting procedure with a pump oxygenator.
6. A doctor of medicine or osteopathy inducing and monitoring a patient during a direct coronary artery bypass grafting procedure with a pump oxygenator.
7. A podiatrist providing anesthesia services during a direct coronary artery bypass grafting procedure with a pump oxygenator.
8. A certified registered nurse anesthetist (CRNA) noting the start and stop times of anesthesia care during a direct coronary artery bypass grafting procedure with a pump oxygenator.
9. An anesthesiologist overseeing the transfer of a patient to post-anesthesia care following a direct coronary artery bypass grafting procedure with a pump oxygenator.
10. A dentist performing a pre-operative evaluation of a patient undergoing a direct coronary artery bypass grafting procedure with a pump oxygenator.