How To Use CPT Code 01274

cpt 01274 describes the anesthesia services provided for procedures involving the arteries of the upper leg, specifically including bypass grafts and femoral artery embolectomies. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01274.

1. What is cpt 01274?

cpt 01274 is used to describe the anesthesia services provided for procedures involving the arteries of the upper leg, specifically including bypass grafts and femoral artery embolectomies. 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 01274 is: ‘Anesthesia for procedures involving arteries of upper leg, including bypass graft; femoral artery embolectomy.’

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 procedure.
3. The procedure involves the surgical removal of an embolus and placement of a bypass graft of the femoral artery in the upper leg.
4. The anesthesia provider notes the types and amounts of medications administered, all 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 01274 is used for procedures involving the arteries of the upper leg, specifically including bypass grafts and femoral artery embolectomies. 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 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.

5. When to use cpt code 01274

cpt 01274 should be used when anesthesia services are provided for procedures involving the arteries of the upper leg, specifically including bypass grafts and femoral artery embolectomies. This code should be reported for each procedure performed.

6. Documentation requirements

To support a claim for cpt 01274, 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 01274, ensure that the anesthesia services are provided by a qualified anesthesia provider and that the procedure involves arteries of the upper leg, including bypass grafts and femoral artery embolectomies. Follow the appropriate coding and billing guidelines for anesthesia services, including the use of modifiers as required by payers.

8. Historical information

cpt 01274 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 a patient undergoing a femoral artery embolectomy.
2. A certified registered nurse anesthetist (CRNA) administering anesthesia for a bypass graft procedure involving the arteries of the upper leg.
3. An anesthesiologist assistant (AA) monitoring a patient during a procedure involving the arteries of the upper leg.
4. A dentist qualified to administer anesthesia providing anesthesia services for a femoral artery embolectomy.
5. An oral surgeon overseeing the transfer of a patient to post anesthesia care following a bypass graft procedure.
6. An anesthesiologist inducing a patient and monitoring them during a procedure involving the arteries of the upper leg.
7. A certified registered nurse anesthetist (CRNA) documenting the start and stop times of anesthesia care for a femoral artery embolectomy.
8. An anesthesiologist assistant (AA) noting the patient’s responses during a bypass graft procedure involving the arteries of the upper leg.
9. A dentist qualified to administer anesthesia administering medications during a procedure involving the arteries of the upper leg.
10. An oral surgeon performing a preoperative evaluation of a patient before a femoral artery embolectomy.