How To Use CPT Code 00866

cpt 00866 describes the anesthesia services provided for patients undergoing extraperitoneal procedures in the lower abdomen, specifically including procedures on the urinary tract and adrenalectomy. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00866.

1. What is cpt 00866?

cpt 00866 is a code used to describe the anesthesia services provided for patients undergoing extraperitoneal procedures in the lower abdomen, specifically including procedures on the urinary tract and adrenalectomy. This code is used when an anesthesia provider performs a pre-operative evaluation, induces the patient, monitors the patient during the procedure, administers medications, and oversees the patient’s transfer to post-anesthesia care.

2. Official Description

The official description of cpt 00866 is: ‘Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; adrenalectomy.’

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 extraperitoneal procedure in the lower abdomen.
3. The anesthesia provider administers medications as necessary.
4. The anesthesia provider notes the types and amounts of medications administered, as well as all forms of monitoring used.
5. The anesthesia provider documents the start and stop times of anesthesia care.
6. Following the procedure, the anesthesia provider oversees the patient’s transfer to post-anesthesia care.

4. Qualifying circumstances

cpt 00866 is used for patients undergoing extraperitoneal procedures in the lower abdomen, specifically including procedures on the urinary tract and adrenalectomy. The anesthesia provider must perform a pre-operative evaluation, induce the patient, monitor the patient during the procedure, administer medications, and oversee the patient’s transfer to post-anesthesia care.

5. When to use cpt code 00866

cpt 00866 should be used when providing anesthesia services for extraperitoneal procedures in the lower abdomen, including procedures on the urinary tract and adrenalectomy. It is important to ensure that all qualifying circumstances are met, such as performing a pre-operative evaluation, inducing the patient, monitoring the patient during the procedure, administering medications, and overseeing the patient’s transfer to post-anesthesia care.

6. Documentation requirements

To support a claim for cpt 00866, the anesthesia provider must document the following information:

• Pre-operative evaluation of the patient
• Types and amounts of medications administered
• Forms of monitoring used
• Start and stop times of anesthesia care
• Details of the extraperitoneal procedure performed
• Any complications or unusual circumstances during the anesthesia care
• Signature of the anesthesia provider

7. Billing guidelines

When billing for cpt 00866, ensure that all qualifying circumstances are met, including performing a pre-operative evaluation, inducing the patient, monitoring the patient during the procedure, administering medications, and overseeing the patient’s transfer to post-anesthesia care. It is important to follow the specific billing guidelines of the payer, including any required modifiers or additional documentation.

8. Historical information

cpt 00866 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 anesthesia provider performing anesthesia services for a patient undergoing an adrenalectomy.
2. An anesthesia provider administering anesthesia to a patient undergoing a urinary tract procedure in the lower abdomen.
3. An anesthesia provider monitoring a patient during an extraperitoneal procedure in the lower abdomen.
4. An anesthesia provider inducing a patient for an adrenalectomy.
5. An anesthesia provider overseeing the transfer of a patient to post-anesthesia care following a urinary tract procedure in the lower abdomen.
6. An anesthesia provider documenting the start and stop times of anesthesia care during an extraperitoneal procedure in the lower abdomen.
7. An anesthesia provider administering medications to a patient undergoing an adrenalectomy.
8. An anesthesia provider performing a pre-operative evaluation of a patient before an extraperitoneal procedure in the lower abdomen.
9. An anesthesia provider noting the types and amounts of medications administered during a urinary tract procedure in the lower abdomen.
10. An anesthesia provider documenting the forms of monitoring used during an adrenalectomy.