How To Use CPT Code 01220

cpt 01220 describes the anesthesia services provided for all closed procedures involving the upper two-thirds of the femur. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01220.

1. What is cpt 01220?

cpt 01220 is used to describe the anesthesia services provided for all closed procedures involving the upper two-thirds of the femur. This code is used when an anesthesia provider performs the necessary anesthesia care for a patient undergoing a procedure on the thigh bone, which extends from the pelvis to the knee.

2. Official Description

The official description of cpt 01220 is: ‘Anesthesia for all closed procedures involving upper two-thirds of femur.’

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 closed procedure on the upper two-thirds of the femur.
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, 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 01220 is used for anesthesia services provided for all closed procedures involving the upper two-thirds of the femur. There are no specific qualifying circumstances associated with this code.

5. When to use cpt code 01220

cpt 01220 should be used when an anesthesia provider performs the necessary anesthesia care for a patient undergoing a closed procedure on the upper two-thirds of the femur. This code is specific to procedures on the thigh bone and should not be used for procedures on other parts of the leg or body.

6. Documentation requirements

To support a claim for cpt 01220, the anesthesia provider must document the following information:

• Preoperative evaluation of the patient
• Types and amounts of medications administered
• Forms of monitoring 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 01220, ensure that the anesthesia provider performs the necessary anesthesia care for a closed procedure involving the upper two-thirds of the femur. This code should not be reported with other anesthesia codes unless multiple anesthesia services are provided for the same patient during the same encounter. In such cases, report the most complex anesthesia procedure code with the highest base unit value and combine the anesthesia time for all procedures.

8. Historical information

cpt 01220 was added to the Current Procedural Terminology system on January 1, 1990. The code underwent a change on January 1, 2007, with the description being updated to ‘Anesthesia for all closed procedures involving upper 2/3 of femur.’

9. Examples

1. An anesthesia provider administering anesthesia for a closed procedure involving the upper two-thirds of the femur for a patient undergoing hip replacement surgery.
2. An anesthesia provider providing anesthesia services for a closed procedure on the thigh bone for a patient undergoing fracture repair.
3. An anesthesia provider performing anesthesia for a closed procedure involving the upper two-thirds of the femur for a patient undergoing tumor removal.
4. An anesthesia provider administering anesthesia for a closed procedure on the thigh bone for a patient undergoing osteotomy.
5. An anesthesia provider providing anesthesia services for a closed procedure involving the upper two-thirds of the femur for a patient undergoing bone grafting.
6. An anesthesia provider performing anesthesia for a closed procedure on the thigh bone for a patient undergoing hardware removal.
7. An anesthesia provider administering anesthesia for a closed procedure involving the upper two-thirds of the femur for a patient undergoing biopsy.
8. An anesthesia provider providing anesthesia services for a closed procedure on the thigh bone for a patient undergoing osteosynthesis.
9. An anesthesia provider performing anesthesia for a closed procedure involving the upper two-thirds of the femur for a patient undergoing revision surgery.
10. An anesthesia provider administering anesthesia for a closed procedure on the thigh bone for a patient undergoing debridement.