How To Use CPT Code 01652

cpt 01652 describes the anesthesia services provided for procedures on the arteries of the shoulder and axilla, specifically for the treatment of an axillary-brachial artery aneurysm. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01652.

1. What is cpt 01652?

cpt 01652 is used to describe the anesthesia services provided for procedures on the arteries of the shoulder and axilla, specifically for the treatment of an axillary-brachial artery aneurysm. An axillary-brachial aneurysm refers to the widening of a part of the blood vessel caused by a weakness in the walls. The anesthesia provider plays a crucial role in ensuring the patient’s comfort and safety during the surgical procedure.

2. Official Description

The official description of cpt 01652 is: ‘Anesthesia for procedures on arteries of shoulder and axilla; axillary-brachial aneurysm.’ This code specifically applies to the anesthesia services provided during procedures involving the arteries of the shoulder and axilla for the treatment of an axillary-brachial artery aneurysm.

3. Procedure

The anesthesia provider’s responsibilities for cpt 01652 include:

1. Performing a pre-operative evaluation of the patient to assess their overall health and anesthesia needs.
2. Inducing anesthesia and monitoring the patient’s vital signs and anesthesia levels throughout the procedure.
3. Collaborating with the surgical team to ensure the patient’s comfort and safety during the procedure.
4. Administering any necessary medications and fluids during the procedure.
5. Documenting the types and amounts of medications administered, monitoring methods used, patient responses, and the start and stop times of anesthesia care.
6. Overseeing the patient’s transfer to the post-anesthesia care unit following the procedure.

4. Qualifying circumstances

cpt 01652 is used for patients undergoing surgery for an axillary-brachial artery aneurysm. The anesthesia provider must evaluate the patient’s health status and determine the appropriate anesthesia plan. It is important to note that the anesthesia provider’s role is specific to the anesthesia services provided during the procedure and does not include the surgical treatment of the aneurysm itself.

5. When to use cpt code 01652

cpt 01652 should be used when the anesthesia services are provided for procedures on the arteries of the shoulder and axilla specifically for the treatment of an axillary-brachial artery aneurysm. It is important to ensure that the documentation supports the medical necessity of the anesthesia services for this specific procedure.

6. Documentation requirements

To support a claim for cpt 01652, the anesthesia provider must document the following information:

• Pre-operative evaluation of the patient
• Types and amounts of medications administered
• Monitoring methods used
• Patient responses
• Start and stop times of anesthesia care
• Any additional relevant information specific to the patient’s anesthesia care

7. Billing guidelines

When billing for cpt 01652, it is important to ensure that the anesthesia services provided are accurately documented and meet the requirements for medical necessity. The anesthesia provider should use the appropriate anesthesia modifiers, such as AA, AD, QK, QY, GC, QX, and QZ, as required by Medicare and other payers. It is also important to follow the payer’s guidelines for reporting anesthesia time and calculating the total units for billing.

8. Historical information

cpt 01652 was added to the Current Procedural Terminology system on January 1, 1990. It was later added to the Inpatient Only (IPO) list by Medicare in 2017, indicating that it is typically performed in an inpatient setting.

9. Similar codes to cpt 01652

There are no specific similar codes provided for cpt 01652. However, other anesthesia codes within the range of 01610-01680 may be applicable for procedures involving the arteries of the shoulder and axilla. It is important to review the range and select the most appropriate code based on the specific procedure performed.

9. Examples

Examples of cases where cpt 01652 may be billed include:

1. Anesthesia services provided for a patient undergoing surgery to repair an axillary-brachial artery aneurysm.
2. Anesthesia services provided for a patient undergoing a procedure to remove a blockage in the axillary artery.
3. Anesthesia services provided for a patient undergoing a procedure to bypass a narrowed segment of the brachial artery.
4. Anesthesia services provided for a patient undergoing a procedure to repair a traumatic injury to the arteries of the shoulder and axilla.
5. Anesthesia services provided for a patient undergoing a procedure to remove a tumor from the axillary artery.