How To Use CPT Code 01404

cpt 01404 describes the anesthesia services provided for open or surgical arthroscopic procedures on the knee joint, specifically disarticulation at the knee. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01404.

1. What is cpt 01404?

cpt 01404 is a code used to describe the anesthesia services provided for open or surgical arthroscopic procedures on the knee joint, specifically disarticulation at the knee. This code is used when an anesthesia provider performs the necessary anesthesia services for a patient undergoing this procedure.

2. Official Description

The official description of cpt 01404 is: ‘Anesthesia for open or surgical arthroscopic procedures on knee joint; disarticulation at knee.’

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 or surgical arthroscopic procedure, specifically disarticulation at the knee.
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, 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 01404 is used for patients undergoing open or surgical arthroscopic procedures on the knee joint, specifically disarticulation at the knee. 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, administers anesthesia during the procedure, and monitors the patient’s vital signs and responses throughout the process.

5. When to use cpt code 01404

cpt 01404 should be used when an anesthesia provider is involved in an open or surgical arthroscopic procedure on the knee joint, specifically disarticulation at the knee. This code is used to report the anesthesia services provided during the procedure.

6. Documentation requirements

To support a claim for cpt 01404, 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 and vital signs during the procedure
• Start and stop times of anesthesia care
• Transfer of the patient to post anesthesia care

7. Billing guidelines

When billing for cpt 01404, ensure that the anesthesia services are provided by a qualified anesthesia provider and that the procedure involves open or surgical arthroscopic procedures on the knee joint, specifically disarticulation at the knee. Follow the appropriate billing guidelines for anesthesia services, including the use of modifiers if required by the payer.

8. Historical information

cpt 01404 was added to the Current Procedural Terminology system on January 1, 1990. There have been several historical changes to the code, including being added and removed from the Inpatient Only (IPO) list for Medicare reimbursement.

9. Examples

1. An anesthesiologist providing anesthesia services for a patient undergoing disarticulation at the knee.
2. A certified registered nurse anesthetist (CRNA) administering anesthesia during an open arthroscopic procedure on the knee joint.
3. An anesthesiologist assistant (AA) monitoring a patient’s vital signs during a surgical arthroscopic procedure on the knee joint, specifically disarticulation at the knee.
4. A dentist qualified to administer anesthesia providing anesthesia services for a patient undergoing disarticulation at the knee.
5. An oral surgeon overseeing the administration of anesthesia during an open arthroscopic procedure on the knee joint.
6. A podiatrist qualified to administer anesthesia providing anesthesia services for a patient undergoing disarticulation at the knee.
7. An anesthesiologist performing a preoperative evaluation and administering anesthesia during a surgical arthroscopic procedure on the knee joint.
8. A certified registered nurse anesthetist (CRNA) monitoring a patient’s vital signs during an open arthroscopic procedure on the knee joint, specifically disarticulation at the knee.
9. An anesthesiologist assistant (AA) providing anesthesia services for a patient undergoing disarticulation at the knee.
10. A dentist qualified to administer anesthesia overseeing the administration of anesthesia during a surgical arthroscopic procedure on the knee joint.