How To Use CPT Code 01214

cpt 01214 describes the anesthesia services provided for an open total hip arthroplasty procedure. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01214.

1. What is cpt 01214?

cpt 01214 is used to describe the anesthesia services provided for an open total hip arthroplasty procedure. This code is used when an anesthesia provider performs a preoperative evaluation of the patient, induces and monitors the patient during the procedure, administers medications, and oversees the patient’s transfer to post anesthesia care. The anesthesia provider documents the types and amounts of medications administered, forms of monitoring used, patient responses, and the start and stop times of anesthesia care.

2. Official Description

The official description of cpt 01214 is: ‘Anesthesia for open procedures involving hip joint; total hip arthroplasty.’

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 open total hip arthroplasty procedure.
3. The anesthesia provider administers medications as necessary and utilizes standard monitoring services such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry.
4. The anesthesia provider notes 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 01214 is used for patients undergoing an open total hip arthroplasty procedure. 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 services include a preoperative evaluation, induction and monitoring during the procedure, administration of medications and fluids, and standard monitoring services. Unusual forms of monitoring, such as Swan-Ganz catheters or central venous lines, may be coded separately if supported by documentation.

5. When to use cpt code 01214

cpt 01214 should be used when an anesthesia provider performs anesthesia services for an open total hip arthroplasty procedure. It is important to ensure that the anesthesia time is documented accurately, starting from the preparation of the patient for anesthesia induction in the operating room or procedure room. The anesthesia provider’s time ends when they are no longer rendering services to the patient or when another provider assumes responsibility for the patient’s postoperative care.

6. Documentation requirements

To support a claim for cpt 01214, 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
• Transfer of the patient to post anesthesia care

7. Billing guidelines

When billing for cpt 01214, ensure that the anesthesia services are provided by a qualified anesthesia provider. The anesthesia time should be documented accurately, and the total units should be calculated based on the time unit increment used by the payer. It is important to follow the specific billing guidelines of the payer, including the use of appropriate HCPCS modifiers for Medicare and other payers requiring them. Qualifying circumstances codes may be assigned for complex anesthesia cases.

8. Historical information

cpt 01214 was added to the Current Procedural Terminology system on January 1, 1990. It has undergone changes in its description over the years, including updates to reflect the specific procedures and revisions involved in hip joint surgeries. In 2017, it was added to the Inpatient Only (IPO) list for Medicare reimbursement, but it was removed from the list in 2020.

9. Examples

1. An anesthesiologist providing anesthesia services for an open total hip arthroplasty procedure.
2. A certified registered nurse anesthetist (CRNA) inducing and monitoring a patient during a total hip arthroplasty.
3. An anesthesiologist assistant (AA) administering medications and overseeing a patient’s transfer to post anesthesia care after a total hip arthroplasty.
4. A dentist qualified to administer anesthesia providing anesthesia services for a total hip arthroplasty procedure.
5. An oral surgeon overseeing the induction and monitoring of a patient during an open total hip arthroplasty.
6. A podiatrist qualified to administer anesthesia performing anesthesia services for a total hip arthroplasty.
7. An anesthesiologist providing anesthesia care for a patient undergoing a revision total hip arthroplasty.
8. A certified registered nurse anesthetist (CRNA) administering medications and monitoring a patient during a revision total hip arthroplasty.
9. An anesthesiologist assistant (AA) overseeing the transfer of a patient to post anesthesia care after a revision total hip arthroplasty.
10. A dentist qualified to administer anesthesia providing anesthesia services for a revision total hip arthroplasty.