How To Use CPT Code 01150

cpt 01150 describes the anesthesia services provided for radical procedures for a tumor of the pelvis, excluding hindquarter amputation. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01150.

1. What is cpt 01150?

cpt 01150 is used to describe the anesthesia services provided for radical procedures for a tumor of the pelvis, other than hindquarter amputation. This code is used when an anesthesia provider performs a preoperative 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 01150 is: ‘Anesthesia for radical procedures for tumor of pelvis, except hindquarter amputation.’

3. Procedure

The anesthesia provider begins by performing a preoperative evaluation of the patient. They then induce the patient and monitor them throughout the radical procedure for a tumor of the pelvis, excluding hindquarter amputation, which is performed by a different provider. The anesthesia provider administers medications as necessary and utilizes standard monitoring services such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry. After the procedure, the anesthesia provider oversees the patient’s transfer to post-anesthesia care.

4. Qualifying circumstances

cpt 01150 is used for patients undergoing radical procedures for a tumor of the pelvis, other than hindquarter amputation. This code applies to cases where extensive excision of the tissues surrounding the main pathologic focus is performed, including nearby lymph nodes if appropriate. It is important to note that cpt 01150 specifically excludes hindquarter amputation procedures.

5. When to use cpt code 01150

cpt 01150 should be used when providing anesthesia services for radical procedures for a tumor of the pelvis, excluding hindquarter amputation. It is important to ensure that the procedure being performed meets the criteria specified in the code description. If the procedure involves hindquarter amputation, a different anesthesia code should be used.

6. Documentation requirements

To support a claim for cpt 01150, the anesthesia provider must document the following information:

• Preoperative evaluation of the patient
• Administration of medications
• Types and amounts of medications administered
• Monitoring methods used
• Patient responses
• Start and stop times of anesthesia care
• Transfer of the patient to post-anesthesia care

7. Billing guidelines

When billing for cpt 01150, ensure that the anesthesia services provided meet the criteria specified in the code description. It is important to follow the guidelines set forth by the payer regarding anesthesia time and unit calculation. If multiple anesthesia services are provided during the same encounter, assign the most complex anesthesia procedure code with the highest base unit value. Qualifying circumstances codes may be assigned for complex anesthesia cases. Append the appropriate HCPCS modifiers to the anesthesia codes as required by the payer.

8. Historical information

cpt 01150 was added to the Current Procedural Terminology system on January 1, 1990. It was initially removed from the Inpatient Only (IPO) list in 2021 but was later added back to the list in 2022.

9. Similar codes to cpt 01150

Five similar codes to cpt 01150 within the range of anesthesia for procedures on the pelvis (except hip) include:

• cpt 01112: Anesthesia for procedures on the pelvis, except hip joint; not otherwise specified
• cpt 01120: Anesthesia for procedures on the pelvis, except hip joint; diagnostic or therapeutic procedures (eg, exploration, biopsy, drainage, aspiration)
• cpt 01130: Anesthesia for procedures on the pelvis, except hip joint; arthroscopy
• cpt 01140: Anesthesia for procedures on the pelvis, except hip joint; fracture or dislocation procedures
• cpt 01170: Anesthesia for procedures on the pelvis, except hip joint; other than diagnostic or therapeutic procedures, age 1 year or older

9. Examples

1. An anesthesia provider administering anesthesia for a radical procedure to remove a tumor from the pelvis, excluding hindquarter amputation.
2. An anesthesia provider monitoring a patient undergoing a radical procedure for a pelvic tumor, excluding hindquarter amputation, and documenting the types and amounts of medications administered.
3. An anesthesia provider overseeing the transfer of a patient to post-anesthesia care following a radical procedure for a tumor of the pelvis, other than hindquarter amputation.
4. An anesthesia provider performing a preoperative evaluation of a patient scheduled for a radical procedure for a tumor of the pelvis, excluding hindquarter amputation.
5. An anesthesia provider utilizing standard monitoring services, such as ECG and oximetry, during a radical procedure for a tumor of the pelvis, other than hindquarter amputation.
6. An anesthesia provider documenting the start and stop times of anesthesia care for a patient undergoing a radical procedure for a tumor of the pelvis, excluding hindquarter amputation.
7. An anesthesia provider administering fluids and/or blood as necessary during a radical procedure for a tumor of the pelvis, other than hindquarter amputation.
8. An anesthesia provider utilizing capnography to measure the concentration of carbon dioxide in the exhaled breath of a patient undergoing a radical procedure for a tumor of the pelvis, excluding hindquarter amputation.
9. An anesthesia provider monitoring the patient’s blood pressure and temperature during a radical procedure for a tumor of the pelvis, other than hindquarter amputation.
10. An anesthesia provider overseeing the patient’s transfer to post-anesthesia care following a radical procedure for a tumor of the pelvis, excluding hindquarter amputation.