How To Use CPT Code 00635

cpt 00635 describes the anesthesia services provided for procedures in the lumbar region, specifically for diagnostic or therapeutic lumbar punctures. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00635.

1. What is cpt 00635?

cpt 00635 is used to describe the anesthesia services provided for procedures in the lumbar region, specifically for diagnostic or therapeutic lumbar punctures. This code is used when an anesthesia provider performs the necessary anesthesia services for a patient undergoing a procedure in the lumbar region, including the lumbar puncture itself.

2. Official Description

The official description of cpt 00635 is: ‘Anesthesia for procedures in lumbar region; diagnostic or therapeutic lumbar puncture.’

3. Procedure

1. The anesthesia provider performs a pre-operative evaluation of the patient.
2. The anesthesia provider induces the patient and monitors them during the procedure in the lumbar region, which includes the diagnostic or therapeutic lumbar puncture performed by another provider.
3. The anesthesia provider notes the types and amounts of medications administered, the forms of monitoring used, patient responses, and the start and stop times of anesthesia care.
4. Following the procedure, the anesthesia provider oversees the patient’s transfer to post-anesthesia care.

4. Qualifying circumstances

cpt 00635 is used for patients undergoing procedures in the lumbar region that require anesthesia services, specifically for diagnostic or therapeutic lumbar punctures. The anesthesia provider must perform a pre-operative evaluation, induce the patient, monitor them during the procedure, and oversee their transfer to post-anesthesia care.

5. When to use cpt code 00635

cpt 00635 should be used when an anesthesia provider is involved in a procedure in the lumbar region, specifically for diagnostic or therapeutic lumbar punctures. This code is appropriate when the anesthesia provider performs the necessary anesthesia services for the patient undergoing the procedure.

6. Documentation requirements

To support a claim for cpt 00635, 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

7. Billing guidelines

When billing for cpt 00635, ensure that the anesthesia provider is involved in the procedure in the lumbar region, specifically for diagnostic or therapeutic lumbar punctures. Follow the appropriate billing guidelines for anesthesia services and include the necessary documentation to support the claim.

8. Historical information

cpt 00635 was added to the Current Procedural Terminology system on January 1, 2001. There have been no updates to the code since its addition.

9. Examples

1. An anesthesia provider administering anesthesia for a diagnostic lumbar puncture performed by a different provider.
2. An anesthesia provider providing anesthesia services for a therapeutic lumbar puncture procedure in the lumbar region.
3. An anesthesia provider monitoring a patient during a diagnostic lumbar puncture in the lumbar region.
4. An anesthesia provider overseeing the transfer of a patient to post-anesthesia care following a therapeutic lumbar puncture.
5. An anesthesia provider documenting the start and stop times of anesthesia care during a diagnostic lumbar puncture.
6. An anesthesia provider noting the patient’s responses during a therapeutic lumbar puncture procedure.
7. An anesthesia provider administering medications during a diagnostic lumbar puncture in the lumbar region.
8. An anesthesia provider using specific forms of monitoring during a therapeutic lumbar puncture.
9. An anesthesia provider performing a pre-operative evaluation for a patient undergoing a diagnostic lumbar puncture.
10. An anesthesia provider billing for anesthesia services for a therapeutic lumbar puncture procedure in the lumbar region.