How To Use CPT Code 00813
cpt 00813 describes anesthesia services for combined upper and lower gastrointestinal endoscopic procedures, where an endoscope is introduced both proximal to and distal to the duodenum. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00813.
1. What is cpt 00813?
cpt 00813 is a code used to describe anesthesia services provided during combined upper and lower gastrointestinal endoscopic procedures. In these procedures, an endoscope is introduced both proximal to and distal to the duodenum, which is the part of the intestines located next to the stomach. Anesthesia providers play a crucial role in ensuring patient comfort and safety during these procedures.
2. Official Description
The official description of cpt 00813 is: ‘Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum.’
3. Procedure
During cpt 00813, the anesthesia provider performs a preoperative evaluation of the patient. They then induce the patient and monitor them throughout the endoscopic procedure, where the endoscope is introduced both proximal and distal to the duodenum by a different provider. The anesthesia provider administers medications, monitors the patient’s vital signs, and ensures their comfort and safety. After the procedure, the anesthesia provider oversees the patient’s transfer to the postanesthesia care unit.
4. Qualifying circumstances
cpt 00813 is used for combined upper and lower gastrointestinal endoscopic procedures where the endoscope is introduced both proximal to and distal to the duodenum. This code is appropriate when the anesthesia provider is involved in the anesthesia care for these procedures. It is important to note that the anesthesia provider should document the types and amounts of medications administered, the monitoring used, patient responses, and the start and stop times of anesthesia care.
5. When to use cpt code 00813
cpt 00813 should be used when an anesthesia provider is involved in providing anesthesia services for combined upper and lower gastrointestinal endoscopic procedures, where the endoscope is introduced both proximal to and distal to the duodenum. It is important to ensure that the anesthesia provider’s services are documented appropriately and meet the criteria outlined in the code description.
6. Documentation requirements
To support a claim for cpt 00813, the anesthesia provider must document the following information:
- Patient’s preoperative evaluation
- Types and amounts of medications administered
- Monitoring used during the procedure
- Patient responses and vital signs
- Start and stop times of anesthesia care
- Transfer of the patient to the postanesthesia care unit
7. Billing guidelines
When billing for cpt 00813, ensure that the anesthesia provider’s services meet the criteria outlined in the code description. It is important to document the anesthesia time accurately and report the appropriate units based on the payer’s guidelines. Additionally, follow any specific billing guidelines provided by the payer or relevant coding guidelines.
8. Historical information
cpt 00813 was added to the Current Procedural Terminology system on January 1, 2018. There have been no updates to the code since its addition.
9. Similar codes to cpt 00813
There are no similar codes provided for cpt 00813 in the information available. However, it is important to review the range of anesthesia codes for procedures on the lower abdomen (00800-00882) to identify any potentially related codes.
9. Examples
- An anesthesia provider administering anesthesia for a combined upper and lower gastrointestinal endoscopic procedure, where the endoscope is introduced both proximal to and distal to the duodenum.
- An anesthesia provider monitoring a patient’s vital signs and administering medications during a combined upper and lower gastrointestinal endoscopic procedure.
- An anesthesia provider ensuring patient comfort and safety during a combined upper and lower gastrointestinal endoscopic procedure, where the endoscope is introduced both proximal to and distal to the duodenum.
- An anesthesia provider documenting the types and amounts of medications administered, monitoring used, and patient responses during a combined upper and lower gastrointestinal endoscopic procedure.
- An anesthesia provider overseeing the transfer of a patient to the postanesthesia care unit following a combined upper and lower gastrointestinal endoscopic procedure.
