How To Use CPT Code 00864

cpt 00864 describes the anesthesia services provided for extraperitoneal procedures in the lower abdomen, including urinary tract; total cystectomy. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00864.

1. What is cpt 00864?

cpt 00864 is used to describe the anesthesia services provided for extraperitoneal procedures in the lower abdomen, specifically total cystectomy. This code is used when an anesthesia provider performs the necessary pre-operative evaluation, induction of anesthesia, monitoring during the procedure, and post-operative care for a patient undergoing a total cystectomy in the lower abdomen.

2. Official Description

The official description of cpt 00864 is: ‘Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; total cystectomy.’

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 total cystectomy procedure.
3. The anesthesia provider notes the types and amounts of medications administered, as well as any forms of monitoring used.
4. After the procedure, the anesthesia provider oversees the patient’s transfer to post-anesthesia care.

4. Qualifying circumstances

cpt 00864 is used for patients undergoing extraperitoneal procedures in the lower abdomen, specifically total cystectomy. The anesthesia services are provided by a qualified anesthesia provider, such as an anesthesiologist or certified registered nurse anesthetist (CRNA). The patient must be undergoing a total cystectomy procedure in the lower abdomen, including the urinary tract.

5. When to use cpt code 00864

cpt 00864 should be used when an anesthesia provider is involved in providing anesthesia services for a patient undergoing a total cystectomy procedure in the lower abdomen. It is important to ensure that the procedure being performed falls within the scope of cpt 00864 and that the anesthesia provider is appropriately qualified to provide the services.

6. Documentation requirements

To support a claim for cpt 00864, the anesthesia provider must document the following information:

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

7. Billing guidelines

When billing for cpt 00864, ensure that the anesthesia services are provided by a qualified anesthesia provider and that the procedure being performed is a total cystectomy in the lower abdomen. Follow the appropriate billing guidelines and modifiers as required by the payer. It is important to accurately report the anesthesia time and any additional services provided during the procedure.

8. Historical information

cpt 00864 was added to the Current Procedural Terminology system on January 1, 1990. It was later added to the Inpatient Only (IPO) list for Medicare in 2017.

9. Examples

1. An anesthesiologist providing anesthesia services for a patient undergoing a total cystectomy in the lower abdomen.
2. A certified registered nurse anesthetist (CRNA) administering anesthesia for a total cystectomy procedure in the lower abdomen.
3. An anesthesia team providing services for a patient undergoing a total cystectomy in the lower abdomen.
4. An anesthesiologist overseeing the induction and monitoring of anesthesia for a total cystectomy procedure in the lower abdomen.
5. A CRNA assisting in the administration of anesthesia for a total cystectomy in the lower abdomen.
6. An anesthesia provider managing the post-operative care of a patient following a total cystectomy in the lower abdomen.
7. An anesthesiologist providing anesthesia services for a patient undergoing a total cystectomy in the lower abdomen, with additional monitoring using mass spectrometry.
8. A CRNA administering anesthesia for a total cystectomy procedure in the lower abdomen, with the use of capnography for monitoring.
9. An anesthesia team providing services for a patient undergoing a total cystectomy in the lower abdomen, with the use of oximetry for monitoring.
10. An anesthesiologist overseeing the induction and monitoring of anesthesia for a total cystectomy procedure in the lower abdomen, with the use of both capnography and oximetry for monitoring.