How To Use CPT Code 01490

cpt 01490 describes the anesthesia services provided by a healthcare professional for the application, removal, or repair of a lower leg cast. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01490.

1. What is cpt 01490?

cpt 01490 is used to describe the anesthesia services provided by a healthcare professional for the application, removal, or repair of a lower leg cast. This code is used when the anesthesia provider performs a preoperative evaluation of the patient, induces anesthesia, monitors the patient during the procedure, and oversees the patient’s transfer to post-anesthesia care.

2. Official Description

The official description of cpt 01490 is: ‘Anesthesia for lower leg cast application, removal, or repair.’

3. Procedure

1. The anesthesia provider performs a preoperative evaluation of the patient.
2. The anesthesia provider induces anesthesia and monitors the patient during the lower leg cast application, removal, or repair procedure.
3. The anesthesia provider notes the types and amounts of medications administered, all forms of monitoring used, patient responses, and the start and stop times of anesthesia care.
4. Following the procedure, the anesthesia provider oversees the patient’s transfer to post-anesthesia care.

4. Qualifying circumstances

cpt 01490 is used for anesthesia services provided during the application, removal, or repair of a lower leg cast. There are no specific qualifying circumstances associated with this code.

5. When to use cpt code 01490

cpt 01490 should be used when a healthcare professional provides anesthesia services for the application, removal, or repair of a lower leg cast. This code should be reported for each instance of anesthesia provided during these procedures.

6. Documentation requirements

To support a claim for cpt 01490, the anesthesia provider must document the following information:

• Preoperative evaluation of the patient
• Types and amounts of medications administered
• Forms of monitoring used
• Patient responses
• Start and stop times of anesthesia care
• Transfer of the patient to post-anesthesia care

7. Billing guidelines

When billing for cpt 01490, ensure that the anesthesia services are provided by a qualified healthcare professional. Use the appropriate anesthesia code based on the specific procedure performed (e.g., cast application, removal, or repair). Follow the billing guidelines of the payer regarding anesthesia time units and modifiers.

8. Historical information

cpt 01490 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 the application of a lower leg cast.
2. An anesthesia provider monitoring a patient during the removal of a lower leg cast.
3. An anesthesia provider overseeing the patient’s transfer to post-anesthesia care after the repair of a lower leg cast.
4. An anesthesia provider documenting the types and amounts of medications administered during the application of a lower leg cast.
5. An anesthesia provider noting the start and stop times of anesthesia care during the removal of a lower leg cast.
6. An anesthesia provider performing a preoperative evaluation of a patient before the repair of a lower leg cast.
7. An anesthesia provider using capnography to monitor the concentration of carbon dioxide in the patient’s exhaled breath during the application of a lower leg cast.
8. An anesthesia provider administering fluids and monitoring the patient’s blood pressure during the removal of a lower leg cast.
9. An anesthesia provider documenting the patient’s response to anesthesia during the repair of a lower leg cast.
10. An anesthesia provider overseeing the patient’s transfer to post-anesthesia care after the application of a lower leg cast.