How To Use CPT Code 01212

cpt 01212 describes the anesthesia services provided for an open disarticulation procedure of the hip joint. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01212.

1. What is cpt 01212?

cpt 01212 is used to describe the anesthesia services provided for an open disarticulation procedure of the hip joint. 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 01212 is: ‘Anesthesia for open procedures involving hip joint; hip disarticulation.’

3. Procedure

1. The anesthesia provider performs a preoperative evaluation of the patient.
2. The anesthesia provider induces the patient and monitors the patient during the open hip disarticulation procedure.
3. The anesthesia provider notes the types and amounts of medications administered, as well as any forms of monitoring used.
4. The anesthesia provider documents 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 01212 is used for patients undergoing an open disarticulation procedure of the hip joint. This procedure involves the complete removal of the entire lower extremity through the hip joint. 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).

5. When to use cpt code 01212

cpt 01212 should be used when an anesthesia provider is performing anesthesia services for an open disarticulation procedure of the hip joint. This code should be reported for each instance of anesthesia care provided for this specific procedure.

6. Documentation requirements

To support a claim for cpt 01212, the anesthesia provider must document the following information:

• Preoperative evaluation of the patient
• Types and amounts of medications administered
• Forms of monitoring used
• Start and stop times of anesthesia care
• Transfer of the patient to post anesthesia care

7. Billing guidelines

When billing for cpt 01212, ensure that the anesthesia services are provided by a qualified anesthesia provider and are specifically for an open disarticulation procedure of the hip joint. Follow the appropriate coding and billing guidelines for anesthesia services, including the use of modifiers if required by the payer.

8. Historical information

cpt 01212 was added to the Current Procedural Terminology system on January 1, 1990. It was initially removed from the Inpatient Only (IPO) list in 2017, but was later added back to the list in 2022.

9. Examples

1. An anesthesiologist providing anesthesia services for an open hip disarticulation procedure.
2. A certified registered nurse anesthetist (CRNA) administering anesthesia for a hip disarticulation surgery.
3. A dentist qualified to administer anesthesia providing anesthesia care for a hip disarticulation procedure.
4. An anesthesiologist assistant (AA) assisting in the administration of anesthesia for a hip disarticulation surgery.
5. A doctor of medicine or osteopathy overseeing the anesthesia services for an open disarticulation procedure of the hip joint.
6. An oral surgeon providing anesthesia care for a hip disarticulation surgery.
7. A podiatrist qualified to administer anesthesia performing anesthesia services for a hip disarticulation procedure.
8. An anesthesiologist monitoring the patient during an open hip disarticulation surgery.
9. A certified registered nurse anesthetist (CRNA) documenting the types and amounts of medications administered during a hip disarticulation procedure.
10. An anesthesiologist assistant (AA) noting the start and stop times of anesthesia care for a patient undergoing a hip disarticulation surgery.