How To Use CPT Code 00938

cpt 00938 describes the anesthesia services provided for procedures on the male genitalia, specifically the insertion of a penile prosthesis using a perineal approach. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 00938.

1. What is cpt 00938?

cpt 00938 is a code used to describe the anesthesia services provided for procedures on the male genitalia, specifically the insertion of a penile prosthesis using a perineal approach. This procedure is performed to treat erectile dysfunction in men. The anesthesia provider plays a crucial role in ensuring the patient’s comfort and safety during the procedure.

2. Official Description

The official description of cpt 00938 is: ‘Anesthesia for procedures on male genitalia (including open urethral procedures); insertion of penile prosthesis (perineal approach)’. This code specifically applies to the anesthesia services provided during the insertion of a penile prosthesis using a perineal approach.

3. Procedure

The anesthesia provider performs several key responsibilities during the procedure of inserting a penile prosthesis using a perineal approach. These include:

1. Performing a preoperative evaluation of the patient to assess their overall health and anesthesia needs.
2. Inducing the patient and monitoring them throughout the procedure.
3. Administering any necessary medications and fluids during the procedure.
4. Using standard monitoring techniques such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry.
5. Documenting the types and amounts of medications administered, monitoring used, patient responses, and the start and stop times of anesthesia care.
6. Overseeing the patient’s transfer to the post-anesthesia care unit after the procedure.

4. Qualifying circumstances

cpt 00938 is used for anesthesia services provided during procedures on the male genitalia, specifically the insertion of a penile prosthesis using a perineal approach. This procedure is typically performed to treat erectile dysfunction in men. The anesthesia provider must ensure the patient’s comfort and safety throughout the procedure, monitoring their vital signs and administering any necessary medications or fluids.

5. When to use cpt code 00938

cpt 00938 should be used when an anesthesia provider is involved in the insertion of a penile prosthesis using a perineal approach. This code specifically applies to the anesthesia services provided during this procedure. It is important to accurately report this code to ensure proper reimbursement for the anesthesia services rendered.

6. Documentation requirements

To support a claim for cpt 00938, the anesthesia provider must document the following information:

• Preoperative evaluation of the patient
• Start and stop times of anesthesia care
• Types and amounts of medications administered
• Monitoring techniques used during the procedure
• Patient responses and any complications or adverse events
• Transfer of the patient to the post-anesthesia care unit

7. Billing guidelines

When billing for cpt 00938, it is important to ensure that the anesthesia provider is qualified to administer anesthesia and that the procedure involves the insertion of a penile prosthesis using a perineal approach. It is also important to follow any specific billing guidelines provided by the payer. Additionally, it is important to note that anesthesia services may be separately billed from the surgical procedure itself.

8. Historical information

cpt 00938 was added to the Current Procedural Terminology system on January 1, 2001. Prior to this, the code for anesthesia services during the insertion of a penile prosthesis using a perineal approach was different. There have been no updates to the code since its addition.

9. Similar codes to cpt 00938

There are no similar codes specifically related to cpt 00938 for procedures on the male genitalia, insertion of a penile prosthesis using a perineal approach.

9. Examples

Examples of cases where cpt 00938 may be used include:

1. Anesthesia services provided during the insertion of a penile prosthesis using a perineal approach for a patient with erectile dysfunction.
2. Anesthesia services provided during the revision of a penile prosthesis using a perineal approach for a patient with a malfunctioning device.
3. Anesthesia services provided during the removal of a penile prosthesis using a perineal approach for a patient who no longer wishes to have the device.
4. Anesthesia services provided during the repair of a penile prosthesis using a perineal approach for a patient with a damaged device.
5. Anesthesia services provided during the replacement of a penile prosthesis using a perineal approach for a patient with an outdated or malfunctioning device.