How To Use CPT Code 01270

cpt 01270 describes the anesthesia services provided by a healthcare professional for procedures involving the arteries of the upper leg, including bypass grafts. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01270.

1. What is cpt 01270?

cpt 01270 is used to describe the anesthesia services provided by a healthcare professional for procedures involving the arteries of the upper leg, specifically those that include the placement of a bypass graft. This code is used when the anesthesia provider performs a preoperative evaluation, induces the patient, monitors them during the procedure, administers medications, and oversees the patient’s transfer to post anesthesia care.

2. Official Description

The official description of cpt 01270 is: ‘Anesthesia for procedures involving arteries of upper leg, including bypass graft; 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 procedure on the arteries of the upper leg, including the placement of a bypass graft.
3. The anesthesia provider administers any necessary medications and notes the types and amounts used.
4. The anesthesia provider utilizes standard monitoring services such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry.
5. Following the procedure, the anesthesia provider oversees the patient’s transfer to post anesthesia care.

4. Qualifying circumstances

cpt 01270 is used for procedures involving the arteries of the upper leg, including bypass grafts. This may include surgeries to reroute blood around blockages or diseased arteries. 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 provider must perform a preoperative evaluation, induce the patient, monitor them during the procedure, administer medications, and oversee the patient’s transfer to post anesthesia care.

5. When to use cpt code 01270

cpt 01270 should be used when a healthcare professional provides anesthesia services for procedures involving the arteries of the upper leg, including bypass grafts. This code is appropriate when the anesthesia provider performs a preoperative evaluation, induces the patient, monitors them during the procedure, administers medications, and oversees the patient’s transfer to post anesthesia care.

6. Documentation requirements

To support a claim for cpt 01270, the anesthesia provider must document the following information:

• Preoperative evaluation of the patient
• Administration of anesthesia and any medications used
• Types and amounts of medications administered
• Start and stop times of anesthesia care
• Monitoring services utilized, such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry
• Transfer of the patient to post anesthesia care

7. Billing guidelines

When billing for cpt 01270, ensure that the anesthesia services are provided by a qualified anesthesia provider and that the procedure involves the arteries of the upper leg, including bypass grafts. Follow the appropriate guidelines for reporting anesthesia time and units. If reporting multiple anesthesia services for the same patient during the same encounter, assign the most complex anesthesia procedure code with the highest base unit value. Append the appropriate HCPCS modifiers as required by the payer.

8. Historical information

cpt 01270 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. An anesthesiologist providing anesthesia services for a patient undergoing a bypass graft procedure on the arteries of the upper leg.
2. A certified registered nurse anesthetist (CRNA) administering anesthesia to a patient during a procedure involving the arteries of the upper leg, including a bypass graft.
3. A dentist qualified to administer anesthesia providing anesthesia services for a patient undergoing a bypass graft procedure on the arteries of the upper leg.
4. An anesthesiologist assistant (AA) assisting in the administration of anesthesia for a patient during a procedure involving the arteries of the upper leg, including a bypass graft.
5. A doctor of medicine or osteopathy providing anesthesia services for a patient undergoing a bypass graft procedure on the arteries of the upper leg.