How To Use CPT Code 01474

cpt 01474 describes anesthesia services for procedures on nerves, muscles, tendons, and fascia of the lower leg, ankle, and foot, including a gastrocnemius recession (eg, Strayer procedure). This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01474.

1. What is cpt 01474?

cpt 01474 is a code used to describe anesthesia services provided for procedures on nerves, muscles, tendons, and fascia of the lower leg, ankle, and foot, specifically including a gastrocnemius recession (eg, Strayer procedure). This code is used when an anesthesia provider administers anesthesia to a patient undergoing these types of procedures.

2. Official Description

The official description of cpt 01474 is: ‘Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; gastrocnemius recession (eg, Strayer procedure).’ This code specifically applies to anesthesia services provided during a gastrocnemius recession procedure, which involves releasing the gastrocnemius tendon to lengthen the calf muscle.

3. Procedure

During a procedure on nerves, muscles, tendons, and fascia of the lower leg, ankle, and foot, including a gastrocnemius recession, the anesthesia provider performs several key responsibilities. These include:

1. Conducting a preoperative evaluation of the patient to assess their overall health and determine the appropriate anesthesia plan.
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.
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 after the procedure.

4. Qualifying circumstances

cpt 01474 is used for anesthesia services provided during procedures on nerves, muscles, tendons, and fascia of the lower leg, ankle, and foot, including a gastrocnemius recession. The patient must undergo a specific procedure that falls within this category for the code to be applicable. The anesthesia provider must be present and administer anesthesia throughout the procedure.

5. When to use cpt code 01474

cpt 01474 should be used when an anesthesia provider administers anesthesia during a procedure on nerves, muscles, tendons, and fascia of the lower leg, ankle, and foot, specifically including a gastrocnemius recession. This code is appropriate when the anesthesia provider is present and provides anesthesia services throughout the entire procedure.

6. Documentation requirements

To support a claim for cpt 01474, the anesthesia provider must document the following information:

• Patient’s preoperative evaluation and overall health assessment
• Specific procedure performed, including a gastrocnemius recession
• Types and amounts of medications administered during anesthesia
• Monitoring techniques used during anesthesia, such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry
• Start and stop times of anesthesia care
• Any complications or significant events that occurred during anesthesia
• Transfer of the patient to the post-anesthesia care unit

7. Billing guidelines

When billing for cpt 01474, ensure that the anesthesia provider is present and administers anesthesia throughout the entire procedure. This code should not be reported if the anesthesia provider is not involved in the procedure or if a different anesthesia code is more appropriate. It is important to follow the specific billing guidelines of the payer and include any necessary modifiers or additional documentation as required.

8. Historical information

cpt 01474 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.

These codes represent anesthesia services provided during various procedures on the lower leg, ankle, and foot, similar to cpt 01474. Each code specifies a different procedure within this category.

9. Examples

1. An anesthesia provider administering anesthesia during a gastrocnemius recession procedure for a patient with calf muscle tightness.
2. An anesthesia provider providing anesthesia services for a tendon lengthening procedure on the Achilles tendon of a patient with foot deformity.
3. An anesthesia provider administering anesthesia during a bunionectomy procedure for a patient with a painful bunion on their foot.
4. An anesthesia provider providing anesthesia services for the repair of a nonunion or malunion of the tibia and/or fibula in a patient with a previous leg fracture.
5. An anesthesia provider administering anesthesia during the repair of a nonunion or malunion of a metatarsal bone in a patient with foot pain and deformity.