How To Use CPT Code 00851

cpt 00851 describes the anesthesia services provided for intraperitoneal procedures in the lower abdomen, including laparoscopy and tubal ligation/transection. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00851.

1. What is cpt 00851?

cpt 00851 is used to describe the anesthesia services provided for intraperitoneal procedures in the lower abdomen, specifically including laparoscopy and tubal ligation/transection. This code is used when an anesthesia provider performs a pre-operative evaluation, induces the patient, monitors the patient during the procedure, and oversees the patient’s transfer to post-anesthesia care. The anesthesia provider also documents the types and amounts of medications administered, forms of monitoring used, patient responses, and the start and stop times of anesthesia care.

2. Official Description

The official description of cpt 00851 is: ‘Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/transection.’

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 intraperitoneal procedure in the lower abdomen, which may include laparoscopy and tubal ligation/transection.
3. The anesthesia provider notes the types and amounts of medications administered, 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 00851 is used for intraperitoneal procedures in the lower abdomen, specifically including laparoscopy and tubal ligation/transection. 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). The anesthesia provider performs a pre-operative evaluation, induces the patient, monitors the patient during the procedure, and oversees the patient’s transfer to post-anesthesia care.

5. When to use cpt code 00851

cpt 00851 should be used when anesthesia services are provided for intraperitoneal procedures in the lower abdomen, specifically including laparoscopy and tubal ligation/transection. This code should be reported for each instance of anesthesia care provided for these procedures.

6. Documentation requirements

To support a claim for cpt 00851, 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 00851, ensure that the anesthesia services are provided by a qualified anesthesia provider and that the services are for intraperitoneal procedures in the lower abdomen, including laparoscopy and tubal ligation/transection. Follow the appropriate billing guidelines for anesthesia services, including the use of modifiers if required by the payer.

8. Historical information

cpt 00851 was added to the Current Procedural Terminology system on January 1, 2002. There have been no updates to the code since its addition.

9. Examples

1. An anesthesiologist providing anesthesia services for a laparoscopic tubal ligation procedure in the lower abdomen.
2. A certified registered nurse anesthetist (CRNA) administering anesthesia for a laparoscopic procedure in the lower abdomen, including tubal ligation/transection.
3. An oral surgeon providing anesthesia services for a laparoscopic procedure in the lower abdomen, including tubal ligation/transection.
4. A dentist administering anesthesia for a laparoscopic tubal ligation procedure in the lower abdomen.
5. An anesthesiologist assistant (AA) overseeing anesthesia care for a laparoscopic procedure in the lower abdomen, including tubal ligation/transection.
6. A doctor of medicine performing anesthesia services for a laparoscopic tubal ligation procedure in the lower abdomen.
7. An anesthesiologist providing anesthesia for a laparoscopic procedure in the lower abdomen, including tubal ligation/transection, with the use of mass spectrometry monitoring.
8. A certified registered nurse anesthetist (CRNA) administering anesthesia for a laparoscopic tubal ligation procedure in the lower abdomen, with the use of capnography monitoring.
9. An oral surgeon providing anesthesia services for a laparoscopic procedure in the lower abdomen, including tubal ligation/transection, with the use of oximetry monitoring.
10. A dentist administering anesthesia for a laparoscopic tubal ligation procedure in the lower abdomen, with the use of mass spectrometry monitoring.