How To Use CPT Code 00904

cpt 00904 describes the anesthesia services provided for a radical perineal procedure. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00904.

1. What is cpt 00904?

cpt 00904 is a code used to describe the anesthesia services provided for a radical perineal procedure. This procedure involves the complete removal of all diseased tissue in the perineal area, which is the region between the scrotum and anus in men and the area between the vagina and anus in women.

2. Official Description

The official description of cpt 00904 is: ‘Anesthesia for radical perineal procedure.’

3. Procedure

1. The anesthesia provider performs a preoperative evaluation of the patient.
2. The anesthesia provider induces the patient and monitors them during the radical perineal procedure 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, the 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 00904 is used for anesthesia services provided during a radical perineal procedure. This procedure involves the complete removal of all diseased tissue in the perineal area. The anesthesia provider must perform a preoperative evaluation of the patient and administer anesthesia during the procedure. The anesthesia provider must also utilize standard monitoring services during the procedure.

5. When to use cpt code 00904

cpt 00904 should be used when anesthesia services are provided for a radical perineal procedure. This code is specific to the anesthesia services required for this particular procedure.

6. Documentation requirements

To support a claim for cpt 00904, the anesthesia provider must document the following information:

• Preoperative 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 00904, ensure that the anesthesia services are provided for a radical perineal procedure. Use the appropriate anesthesia code for this specific procedure. cpt 00904 should not be reported with other codes unless there are qualifying circumstances that require additional codes to be reported.

8. Historical information

cpt 00904 was added to the Current Procedural Terminology system on January 1, 1990. It has undergone several changes, including being added and removed from the Inpatient Only (IPO) list for Medicare reimbursement.

9. Similar codes to cpt 00904

There are no similar codes provided for cpt 00904 in the information available. However, it is important to consult the range of anesthesia codes for procedures on the perineum (00902-00952) to identify any codes that may be related to cpt 00904.

9. Examples

1. An anesthesia provider administering anesthesia for a radical perineal procedure to remove a tumor in the perineal area.
2. An anesthesia provider providing anesthesia services for a radical perineal procedure to treat a severe infection in the perineal area.
3. An anesthesia provider administering anesthesia for a radical perineal procedure to remove a cyst in the perineal area.
4. An anesthesia provider providing anesthesia services for a radical perineal procedure to repair a perineal tear.
5. An anesthesia provider administering anesthesia for a radical perineal procedure to remove a foreign object in the perineal area.
6. An anesthesia provider providing anesthesia services for a radical perineal procedure to treat a perineal abscess.
7. An anesthesia provider administering anesthesia for a radical perineal procedure to remove a perineal tumor in a pediatric patient.
8. An anesthesia provider providing anesthesia services for a radical perineal procedure to repair a perineal injury caused by trauma.
9. An anesthesia provider administering anesthesia for a radical perineal procedure to remove a perineal polyp.
10. An anesthesia provider providing anesthesia services for a radical perineal procedure to treat a perineal fistula.