How To Use CPT Code 01630

cpt 01630 describes the anesthesia services provided for open or surgical arthroscopic procedures on the humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01630.

1. What is cpt 01630?

cpt 01630 is used to describe the anesthesia services provided for open or surgical arthroscopic procedures on the humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint. This code is used when an anesthesia provider administers anesthesia to a patient undergoing a procedure on these specific areas of the shoulder and axilla.

2. Official Description

The official description of cpt 01630 is: ‘Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; not otherwise specified.’

3. Procedure

1. The anesthesia provider performs a preoperative evaluation of the patient.
2. The anesthesia provider induces the patient and monitors them during the procedure on the humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint.
3. The anesthesia provider administers any necessary medications and utilizes standard monitoring services such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry.
4. The anesthesia provider documents the types and amounts of medications administered, the forms of monitoring used, patient responses, and the start and stop times of anesthesia care.
5. Following the procedure, the anesthesia provider oversees the patient’s transfer to post anesthesia care.

4. Qualifying circumstances

cpt 01630 is used for anesthesia services provided during open or surgical arthroscopic procedures on the humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint. The patient must be undergoing a procedure on these specific areas, and the anesthesia must be administered by a qualified anesthesia provider.

5. When to use cpt code 01630

cpt 01630 should be used when an anesthesia provider administers anesthesia for open or surgical arthroscopic procedures on the humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint. This code should be used specifically for procedures on these areas and not for other procedures or body parts.

6. Documentation requirements

To support a claim for cpt 01630, 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

7. Billing guidelines

When billing for cpt 01630, ensure that the anesthesia provider is qualified to administer anesthesia and that the procedure is performed on the humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint. Follow the appropriate billing guidelines for anesthesia services and ensure that all necessary documentation is included to support the claim.

8. Historical information

cpt 01630 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 an open procedure on the humeral head and neck.
2. An anesthesia provider administering anesthesia for a surgical arthroscopic procedure on the sternoclavicular joint.
3. An anesthesia provider administering anesthesia for an open procedure on the acromioclavicular joint.
4. An anesthesia provider administering anesthesia for a surgical arthroscopic procedure on the shoulder joint.
5. An anesthesia provider administering anesthesia for a combination of open and arthroscopic procedures on the humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint.
6. An anesthesia provider administering anesthesia for a revision procedure on the humeral head and neck.
7. An anesthesia provider administering anesthesia for a surgical arthroscopic procedure on the acromioclavicular joint and shoulder joint.
8. An anesthesia provider administering anesthesia for an open procedure on the sternoclavicular joint and acromioclavicular joint.
9. An anesthesia provider administering anesthesia for a surgical arthroscopic procedure on the humeral head and neck and shoulder joint.
10. An anesthesia provider administering anesthesia for a combination of open and arthroscopic procedures on the humeral head and neck, sternoclavicular joint, and acromioclavicular joint.