How To Use CPT Code 01472

cpt 01472 describes anesthesia services for procedures on the nerves, muscles, tendons, and fascia of the lower leg, ankle, and foot, specifically including the repair of a ruptured Achilles tendon, with or without graft. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01472.

1. What is cpt 01472?

cpt 01472 is a code used to describe anesthesia services provided by a healthcare professional during procedures on the nerves, muscles, tendons, and fascia of the lower leg, ankle, and foot. This includes the repair of a ruptured Achilles tendon, with or without graft. The anesthesia provider evaluates the patient before the procedure, administers anesthesia during the procedure, and monitors the patient’s vital signs and responses throughout the process.

2. Official Description

The official description of cpt 01472 is: ‘Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; repair of ruptured Achilles tendon, with or without graft.’

3. Procedure

The anesthesia provider begins by conducting a preoperative evaluation of the patient. They then induce anesthesia and monitor the patient’s vital signs during the procedure, which involves working on the nerves, muscles, tendons, and fascia of the lower leg, ankle, and foot. This includes repairing a ruptured Achilles tendon, with or without graft. The anesthesia provider documents the medications administered, monitoring techniques used, patient responses, and the start and stop times of anesthesia care. After the procedure, the anesthesia provider oversees the patient’s transfer to post-anesthesia care.

4. Qualifying circumstances

cpt 01472 is used when anesthesia services are provided for procedures on the nerves, muscles, tendons, and fascia of the lower leg, ankle, and foot, specifically including the repair of a ruptured Achilles tendon, with or without graft. The patient must undergo a surgical procedure that involves these anatomical areas, and the anesthesia provider must be present to administer and monitor anesthesia throughout the procedure.

5. When to use cpt code 01472

cpt 01472 should be used when a patient requires anesthesia services for procedures on the nerves, muscles, tendons, and fascia of the lower leg, ankle, and foot, including the repair of a ruptured Achilles tendon, with or without graft. It is important to ensure that the procedure being performed falls within the range of codes 01462-01522, which cover anesthesia for procedures on the lower leg below the knee.

6. Documentation requirements

To support a claim for cpt 01472, the anesthesia provider must document the following information:

• Patient’s preoperative evaluation
• Specific procedure performed, including the repair of a ruptured Achilles tendon, with or without graft
• Start and stop times of anesthesia care
• Medications administered
• Monitoring techniques used
• Patient responses and vital signs
• Transfer of the patient to post-anesthesia care

7. Billing guidelines

When billing for cpt 01472, ensure that the anesthesia provider is qualified to administer anesthesia and that the procedure falls within the range of codes 01462-01522. It is important to follow the specific billing guidelines of the payer, including any required modifiers or additional documentation. If multiple anesthesia services are provided during the same encounter, report the most complex procedure code with the highest base unit value. The anesthesia time should be documented accurately and reported in the appropriate field on the claim form.

8. Historical information

cpt 01472 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. An anesthesia provider administering anesthesia for the repair of a ruptured Achilles tendon in a patient’s lower leg.
2. An anesthesia provider providing anesthesia services for a procedure on the nerves, muscles, tendons, and fascia of the foot.
3. An anesthesia provider administering anesthesia for the repair of a ruptured Achilles tendon with graft in a patient’s ankle.
4. An anesthesia provider providing anesthesia services for a procedure on the nerves, muscles, tendons, and fascia of the lower leg.
5. An anesthesia provider administering anesthesia for the repair of a ruptured Achilles tendon without graft in a patient’s foot.
6. An anesthesia provider providing anesthesia services for a procedure on the nerves, muscles, tendons, and fascia of the ankle.
7. An anesthesia provider administering anesthesia for the repair of a ruptured Achilles tendon with graft in a patient’s lower leg.
8. An anesthesia provider providing anesthesia services for a procedure on the nerves, muscles, tendons, and fascia of the foot and ankle.
9. An anesthesia provider administering anesthesia for the repair of a ruptured Achilles tendon without graft in a patient’s lower leg.
10. An anesthesia provider providing anesthesia services for a procedure on the nerves, muscles, tendons, and fascia of the foot and lower leg.