How To Use CPT Code 01230

cpt 01230 describes the anesthesia services provided for open procedures involving the upper two-thirds of the femur. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01230.

1. What is cpt 01230?

cpt 01230 is a code used to describe the anesthesia services provided for open procedures involving the upper two-thirds of the femur. This code is used when an anesthesia provider administers anesthesia to a patient undergoing surgery on the thigh bone, which extends from the pelvis to the knee.

2. Official Description

The official description of cpt 01230 is: ‘Anesthesia for open procedures involving upper two-thirds of femur; not otherwise specified.’

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 procedure on the upper two-thirds of the femur.
3. The anesthesia provider administers medications and utilizes various forms of monitoring, such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry.
4. The anesthesia provider documents the types and amounts of medications administered, as well as 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 01230 is used for anesthesia services provided during open procedures involving the upper two-thirds of the femur. This may include surgeries such as hip replacements or femur fracture repairs. The anesthesia provider must perform a preoperative evaluation, induce the patient, monitor them during the procedure, and oversee their transfer to post-anesthesia care.

5. When to use cpt code 01230

cpt 01230 should be used when an anesthesia provider administers anesthesia for open procedures involving the upper two-thirds of the femur. It is important to ensure that the procedure specifically involves this portion of the femur and not other areas. If the procedure involves the knee or other parts of the leg, a different anesthesia code should be used.

6. Documentation requirements

To support a claim for cpt 01230, the anesthesia provider must document the following information:

• Preoperative evaluation of the patient
• Types and amounts of medications administered
• Start and stop times of anesthesia care
• Forms of monitoring used, such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry
• Any complications or unusual circumstances during the procedure
• Transfer of the patient to post-anesthesia care

7. Billing guidelines

When billing for cpt 01230, ensure that the anesthesia provider performs anesthesia services for open procedures involving the upper two-thirds of the femur. It is important to accurately document the start and stop times of anesthesia care, as well as any additional monitoring or medications administered. If the procedure involves other areas of the leg or additional complications, a different anesthesia code may be more appropriate.

8. Historical information

cpt 01230 was added to the Current Procedural Terminology system on January 1, 1990. The code was later revised on January 1, 2007 to specify the involvement of the upper two-thirds of the femur.

9. Examples

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