How To Use CPT Code 01484

cpt 01484 describes the anesthesia services provided for open procedures on the bones of the lower leg, ankle, and foot, specifically osteotomy or osteoplasty of the tibia and/or fibula. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01484.

1. What is cpt 01484?

cpt 01484 is a code used to describe the anesthesia services provided for open procedures on the bones of the lower leg, ankle, and foot. Specifically, it is used for anesthesia during osteotomy or osteoplasty of the tibia and/or fibula. Anesthesia is administered by a qualified anesthesia provider to ensure the patient’s comfort and safety during the surgical procedure.

2. Official Description

The official description of cpt 01484 is: ‘Anesthesia for open procedures on bones of lower leg, ankle, and foot; osteotomy or osteoplasty of tibia and/or fibula.’

3. Procedure

The anesthesia provider performs several key responsibilities during the osteotomy or osteoplasty procedure of the tibia and/or fibula. These include:

1. Performing a preoperative evaluation of the patient to assess their overall health and determine the appropriate anesthesia plan.
2. Inducing anesthesia to ensure the patient is unconscious and pain-free during the procedure.
3. Monitoring the patient’s vital signs and anesthesia levels throughout the surgery.
4. Administering any necessary medications or fluids during the procedure.
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) after the procedure.

4. Qualifying circumstances

cpt 01484 is used for patients undergoing open procedures on the bones of the lower leg, ankle, and foot, specifically osteotomy or osteoplasty of the tibia and/or fibula. The anesthesia services are provided by a qualified anesthesia provider, such as an anesthesiologist or certified registered nurse anesthetist (CRNA). The anesthesia provider ensures the patient’s comfort and safety throughout the procedure by administering appropriate anesthesia and closely monitoring the patient’s vital signs.

5. When to use cpt code 01484

cpt 01484 should be used when anesthesia services are provided for open procedures on the bones of the lower leg, ankle, and foot, specifically osteotomy or osteoplasty of the tibia and/or fibula. It is important to accurately report this code to ensure proper reimbursement for the anesthesia services provided during the surgical procedure.

6. Documentation requirements

To support a claim for cpt 01484, the anesthesia provider must document the following information:

• Preoperative evaluation of the patient
• Types and amounts of medications administered
• Monitoring used during the procedure
• Patient responses to anesthesia
• Start and stop times of anesthesia care
• Transfer of the patient to the PACU

7. Billing guidelines

When billing for cpt 01484, it is important to ensure that the anesthesia services are provided by a qualified anesthesia provider and that the procedure performed is osteotomy or osteoplasty of the tibia and/or fibula. It is also important to follow any specific billing guidelines provided by the payer, such as using appropriate modifiers or reporting additional codes for unusual forms of monitoring.

8. Historical information

cpt 01484 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 anesthesiologist providing anesthesia services for an osteotomy of the tibia in a patient with a fractured leg.
2. A CRNA administering anesthesia for an osteoplasty of the fibula in a patient undergoing ankle surgery.
3. An anesthesia team providing anesthesia services for an osteotomy and osteoplasty of both the tibia and fibula in a patient with a complex lower leg deformity.
4. An anesthesiologist overseeing the administration of anesthesia for an osteotomy and osteoplasty of the tibia and fibula in a patient with a bone tumor.
5. A CRNA monitoring anesthesia for an osteotomy and osteoplasty of the tibia in a patient with a chronic bone infection.
6. An anesthesia provider ensuring the patient’s comfort and safety during an osteotomy and osteoplasty of the fibula in a patient with a congenital bone deformity.
7. An anesthesiologist administering anesthesia for an osteotomy and osteoplasty of the tibia and fibula in a patient with a severe ankle fracture.
8. A CRNA monitoring anesthesia for an osteotomy and osteoplasty of the tibia in a patient with a sports-related lower leg injury.
9. An anesthesia team providing anesthesia services for an osteotomy and osteoplasty of both the tibia and fibula in a patient with a complex ankle reconstruction.
10. An anesthesiologist overseeing the administration of anesthesia for an osteotomy and osteoplasty of the tibia and fibula in a patient with a bone infection.