How To Use CPT Code 01432

cpt 01432 describes the anesthesia services provided for procedures on the veins of the knee and popliteal area, specifically for arteriovenous fistula (AV) creation. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01432.

1. What is cpt 01432?

cpt 01432 is used to describe the anesthesia services provided by a healthcare professional for procedures on the veins of the knee and popliteal area, specifically for arteriovenous fistula (AV) creation. An arteriovenous fistula is an abnormal connection or channel between an artery and a vein, which can be congenital, acquired, or surgically created. The anesthesia provider plays a crucial role in ensuring the patient’s comfort and safety during the procedure.

2. Official Description

The official description of cpt 01432 is: ‘Anesthesia for procedures on veins of knee and popliteal area; arteriovenous fistula.’

3. Procedure

The anesthesia provider performs several key responsibilities during the procedure for arteriovenous fistula creation in the veins of the knee and popliteal area. These include:

1. Conducting a preoperative evaluation of the patient to assess their overall health and anesthesia needs.
2. Inducing anesthesia and monitoring the patient’s vital signs and anesthesia levels throughout the procedure.
3. Administering any necessary medications and fluids during the procedure.
4. Using standard monitoring techniques such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry to ensure the patient’s safety and well-being.
5. Documenting the types and amounts of medications administered, monitoring used, patient responses, and the start and stop times of anesthesia care.
6. Overseeing the patient’s transfer to the post-anesthesia care unit (PACU) or recovery area after the procedure.

4. Qualifying circumstances

cpt 01432 is used for anesthesia services provided during procedures on the veins of the knee and popliteal area for arteriovenous fistula creation. The anesthesia provider must ensure the patient’s comfort and safety throughout the procedure. This code is applicable when the anesthesia provider performs the necessary tasks to induce and monitor anesthesia, administer medications and fluids, and use standard monitoring techniques during the procedure.

5. When to use cpt code 01432

cpt 01432 should be used when a healthcare professional provides anesthesia services for procedures on the veins of the knee and popliteal area specifically for arteriovenous fistula creation. This code is appropriate when the anesthesia provider is present throughout the procedure, ensuring the patient’s comfort and safety by administering anesthesia, monitoring vital signs, and documenting the anesthesia care provided.

6. Documentation requirements

To support a claim for cpt 01432, the anesthesia provider must document the following information:

• Patient’s preoperative evaluation and overall health assessment
• Types and amounts of medications administered during the procedure
• Monitoring techniques used, such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry
• Patient’s response to anesthesia and any complications or adverse events
• Start and stop times of anesthesia care
• Signature of the anesthesia provider

7. Billing guidelines

When billing for cpt 01432, ensure that the anesthesia services provided are for procedures on the veins of the knee and popliteal area specifically for arteriovenous fistula creation. Follow the appropriate coding and billing guidelines provided by the payer. It is important to note that anesthesia services may be billed separately from the procedure itself, and the anesthesia provider should use the appropriate modifiers and documentation to support the claim.

8. Historical information

cpt 01432 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 anesthesia provider administering anesthesia for an arteriovenous fistula creation procedure in the veins of the knee and popliteal area.
2. An anesthesia provider monitoring a patient’s vital signs and anesthesia levels during an arteriovenous fistula creation procedure in the veins of the knee and popliteal area.
3. An anesthesia provider documenting the types and amounts of medications administered during an arteriovenous fistula creation procedure in the veins of the knee and popliteal area.
4. An anesthesia provider overseeing the patient’s transfer to the post-anesthesia care unit (PACU) after an arteriovenous fistula creation procedure in the veins of the knee and popliteal area.
5. An anesthesia provider using standard monitoring techniques such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry during an arteriovenous fistula creation procedure in the veins of the knee and popliteal area.
6. An anesthesia provider ensuring the patient’s comfort and safety by administering anesthesia during an arteriovenous fistula creation procedure in the veins of the knee and popliteal area.
7. An anesthesia provider documenting the start and stop times of anesthesia care during an arteriovenous fistula creation procedure in the veins of the knee and popliteal area.
8. An anesthesia provider responding to any complications or adverse events during an arteriovenous fistula creation procedure in the veins of the knee and popliteal area.
9. An anesthesia provider performing a preoperative evaluation of the patient before an arteriovenous fistula creation procedure in the veins of the knee and popliteal area.
10. An anesthesia provider administering medications and fluids during an arteriovenous fistula creation procedure in the veins of the knee and popliteal area.