How To Use CPT Code 01830

cpt 01830 describes the anesthesia services provided for open or surgical arthroscopic/endoscopic procedures on the distal radius, distal ulna, wrist, or hand joints that are not otherwise specified. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01830.

1. What is cpt 01830?

cpt 01830 is used to describe the anesthesia services provided for open or surgical arthroscopic/endoscopic procedures on the distal radius, distal ulna, wrist, or hand joints that are not otherwise specified. This code is used when the anesthesia provider performs the anesthesia for these procedures, whether they are done using an open approach or an arthroscopic/endoscopic approach.

2. Official Description

The official description of cpt 01830 is: ‘Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wrist, or hand joints; not otherwise specified.’

3. Procedure

1. The anesthesia provider performs a pre-operative evaluation of the patient.
2. The anesthesia provider induces the patient and monitors them during the open or surgical arthroscopic/endoscopic procedures on the distal radius, distal ulna, wrist, or hand joints.
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 01830 is used for anesthesia services provided for open or surgical arthroscopic/endoscopic procedures on the distal radius, distal ulna, wrist, or hand joints that are not otherwise specified. This code can be used for patients of any age who require anesthesia for these procedures.

5. When to use cpt code 01830

cpt 01830 should be used when the anesthesia provider performs the anesthesia for open or surgical arthroscopic/endoscopic procedures on the distal radius, distal ulna, wrist, or hand joints that are not otherwise specified. This code should be used for each procedure performed.

6. Documentation requirements

To support a claim for cpt 01830, the anesthesia provider must document the following information:

• Pre-operative 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 01830, ensure that the anesthesia provider performs the anesthesia for open or surgical arthroscopic/endoscopic procedures on the distal radius, distal ulna, wrist, or hand joints that are not otherwise specified. Use this code for each procedure performed. If there are multiple anesthesia services provided for the same patient during the same encounter, assign the most complex anesthesia procedure code with the highest base unit value. Add the anesthesia time for all procedures combined and divide it by the time unit increment used by the payer to determine the total units to bill on the claim form.

8. Historical information

cpt 01830 was added to the Current Procedural Terminology system on January 1, 1990. The code was later changed on January 1, 2003 to its current description.

9. Examples

1. An anesthesia provider performing anesthesia for an open procedure on the distal radius for a patient with a fracture.
2. An anesthesia provider administering anesthesia for a surgical arthroscopic procedure on the wrist for a patient with carpal tunnel syndrome.
3. An anesthesia provider providing anesthesia for an endoscopic procedure on the distal ulna for a patient with a ganglion cyst.
4. An anesthesia provider performing anesthesia for an open procedure on the hand joints for a patient with rheumatoid arthritis.
5. An anesthesia provider administering anesthesia for a surgical arthroscopic procedure on the distal radius and ulna for a patient with a ligament tear.
6. An anesthesia provider providing anesthesia for an endoscopic procedure on the wrist for a patient with a tendonitis.
7. An anesthesia provider performing anesthesia for an open procedure on the distal ulna for a patient with a bone tumor.
8. An anesthesia provider administering anesthesia for a surgical arthroscopic procedure on the hand joints for a patient with osteoarthritis.
9. An anesthesia provider providing anesthesia for an endoscopic procedure on the distal radius for a patient with a cyst.
10. An anesthesia provider performing anesthesia for an open procedure on the wrist for a patient with a ligament injury.