How To Use CPT Code 00756

cpt 00756 describes the anesthesia services provided for a patient undergoing transabdominal repair of a diaphragmatic hernia in the upper abdomen. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00756.

1. What is cpt 00756?

cpt 00756 is used to describe the anesthesia services provided for a patient undergoing transabdominal repair of a diaphragmatic hernia in the upper abdomen. This procedure involves repairing a discontinuity in the respiratory diaphragm and restoring the protruding abdominal contents back into the abdominal cavity, using the transabdominal approach.

2. Official Description

The official description of cpt 00756 is: ‘Anesthesia for hernia repairs in upper abdomen; transabdominal repair of diaphragmatic hernia.’

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 transabdominal repair of a diaphragmatic hernia performed by another provider.
3. The anesthesia provider administers any necessary medications and utilizes standard monitoring services such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry.
4. The anesthesia provider documents 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 00756 is used for patients undergoing transabdominal repair of a diaphragmatic hernia in the upper abdomen. This procedure is performed to repair a discontinuity in the respiratory diaphragm and restore the protruding abdominal contents back into the abdominal cavity. The anesthesia services are provided by a qualified anesthesia provider, such as 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 00756

cpt 00756 should be used when a patient is undergoing transabdominal repair of a diaphragmatic hernia in the upper abdomen and anesthesia services are provided. It is important to ensure that the anesthesia provider is qualified and that the procedure is performed using the transabdominal approach.

6. Documentation requirements

To support a claim for cpt 00756, the anesthesia provider must document the following information:

• Pre-operative evaluation of the patient
• Types and amounts of medications administered
• Forms of monitoring used, such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry
• Patient responses during anesthesia care
• Start and stop times of anesthesia care
• Transfer of the patient to post-anesthesia care

7. Billing guidelines

When billing for cpt 00756, ensure that the anesthesia services are provided by a qualified anesthesia provider and that the procedure is transabdominal repair of a diaphragmatic hernia in the upper abdomen. Follow the specific billing guidelines provided by the payer, including any required modifiers or additional documentation.

8. Historical information

cpt 00756 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 anesthesiologist providing anesthesia services for a patient undergoing transabdominal repair of a diaphragmatic hernia in the upper abdomen.
2. A certified registered nurse anesthetist (CRNA) administering anesthesia to a patient during the transabdominal repair of a diaphragmatic hernia performed by a surgeon.
3. An oral surgeon providing anesthesia services for a patient undergoing transabdominal repair of a diaphragmatic hernia in the upper abdomen.
4. A dentist administering anesthesia to a patient during the transabdominal repair of a diaphragmatic hernia performed by a surgeon.
5. An anesthesiologist assistant (AA) assisting in the administration of anesthesia for a patient undergoing transabdominal repair of a diaphragmatic hernia in the upper abdomen.
6. A podiatrist providing anesthesia services for a patient undergoing transabdominal repair of a diaphragmatic hernia in the upper abdomen.
7. An anesthesiologist monitoring a patient during the transabdominal repair of a diaphragmatic hernia performed by a surgeon.
8. A certified registered nurse anesthetist (CRNA) administering anesthesia to a patient during the transabdominal repair of a diaphragmatic hernia in the upper abdomen.
9. An oral surgeon providing anesthesia services for a patient undergoing transabdominal repair of a diaphragmatic hernia in the upper abdomen.
10. A dentist administering anesthesia to a patient during the transabdominal repair of a diaphragmatic hernia performed by a surgeon.