How To Use CPT Code 00918

cpt 00918 describes the anesthesia services provided for transurethral procedures involving the fragmentation, manipulation, and/or removal of a ureteral calculus. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00918.

1. What is cpt 00918?

cpt 00918 is used to describe the anesthesia services provided for transurethral procedures involving the fragmentation, manipulation, and/or removal of a ureteral calculus. During this procedure, the surgical provider accesses the ureter through the urethra and breaks and/or manipulates the stones within the urethra. In some cases, the stones may be removed as well.

2. Official Description

The official description of cpt 00918 is: ‘Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulation and/or removal of ureteral calculus.’

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 fragmentation, manipulation, and/or removal of the ureteral calculus performed by a different 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, all 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 00918 is used for patients undergoing transurethral procedures involving the fragmentation, manipulation, and/or removal of a ureteral calculus. 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 must perform a preoperative evaluation, induce the patient, monitor them during the procedure, and oversee their transfer to post-anesthesia care.

5. When to use cpt code 00918

cpt 00918 should be used when anesthesia services are provided for transurethral procedures involving the fragmentation, manipulation, and/or removal of a ureteral calculus. It is important to ensure that the anesthesia provider performs a preoperative evaluation, induces the patient, monitors them during the procedure, and oversees their transfer to post-anesthesia care.

6. Documentation requirements

To support a claim for cpt 00918, the anesthesia provider must document the following information:

• Preoperative evaluation of the patient
• Types and amounts of medications administered
• Forms of monitoring used, such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry
• Patient responses during anesthesia care
• Start and stop times of anesthesia care
• Signature of the anesthesia provider

7. Billing guidelines

When billing for cpt 00918, ensure that the anesthesia services are provided by a qualified anesthesia provider and that the documentation requirements are met. It is important to follow the specific billing guidelines of the payer, including any required modifiers or additional documentation. cpt 00918 should not be reported with other anesthesia codes unless there are separate and distinct anesthesia services provided.

8. Historical information

cpt 00918 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. An anesthesiologist providing anesthesia services for the fragmentation and removal of a ureteral calculus during a transurethral procedure.
2. A certified registered nurse anesthetist (CRNA) administering anesthesia for the manipulation of a ureteral calculus during a transurethral procedure.
3. A dentist providing anesthesia services for the fragmentation and removal of a ureteral calculus during a transurethral procedure.
4. An oral surgeon administering anesthesia for the manipulation of a ureteral calculus during a transurethral procedure.
5. An anesthesiologist assistant (AA) assisting in the administration of anesthesia for the fragmentation and removal of a ureteral calculus during a transurethral procedure.
6. A podiatrist providing anesthesia services for the manipulation of a ureteral calculus during a transurethral procedure.
7. An anesthesiologist overseeing the anesthesia care for the fragmentation and removal of a ureteral calculus during a transurethral procedure.
8. A certified registered nurse anesthetist (CRNA) monitoring the patient during the manipulation of a ureteral calculus during a transurethral procedure.
9. A dentist administering anesthesia for the fragmentation and removal of a ureteral calculus during a transurethral procedure.
10. An oral surgeon providing anesthesia services for the manipulation of a ureteral calculus during a transurethral procedure.