How To Use CPT Code 01860

cpt 01860 describes the anesthesia services provided for forearm, wrist, or hand cast application, removal, or repair. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01860.

1. What is cpt 01860?

cpt 01860 can be used to describe the anesthesia services provided for forearm, wrist, or hand cast application, removal, or repair. This code is used when an anesthesia provider administers anesthesia to a patient undergoing a procedure involving the application, removal, or repair of a cast on the forearm, wrist, or hand.

2. Official Description

The official description of cpt 01860 is: ‘Anesthesia for forearm, wrist, or hand cast application, removal, or repair.’

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 procedure of forearm, wrist, or hand cast application, removal, or repair.
3. The anesthesia provider notes the types and amounts of medications administered, as well as any forms of monitoring used.
4. The anesthesia provider documents 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 01860 is used for patients undergoing forearm, wrist, or hand cast application, removal, or repair. The anesthesia services are provided by a qualified anesthesia provider, such as an anesthesiologist, doctor of medicine or osteopathy, dentist, oral surgeon, podiatrist, certified registered nurse anesthetist (CRNA), or anesthesiologist assistant (AA). The anesthesia provider performs a pre-operative evaluation, administers anesthesia during the procedure, and monitors the patient’s vital signs and anesthesia levels.

5. When to use cpt code 01860

cpt 01860 should be used when an anesthesia provider administers anesthesia for a procedure involving forearm, wrist, or hand cast application, removal, or repair. This code is specific to anesthesia services and should not be used for other aspects of the procedure, such as the actual application or removal of the cast.

6. Documentation requirements

To support a claim for cpt 01860, the anesthesia provider must document the following information:

• Pre-operative evaluation of the patient
• Types and amounts of medications administered
• Forms of monitoring used
• Start and stop times of anesthesia care
• Any complications or unusual circumstances during the procedure
• Transfer of the patient to post-anesthesia care

7. Billing guidelines

When billing for cpt 01860, ensure that the anesthesia services are provided by a qualified anesthesia provider and are specific to forearm, wrist, or hand cast application, removal, or repair. It is important to follow the guidelines set by the payer regarding anesthesia time units and any additional modifiers that may be required.

8. Historical information

cpt 01860 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 a patient undergoing wrist cast application.
2. A CRNA administering anesthesia for a patient undergoing hand cast removal.
3. An oral surgeon overseeing anesthesia for a patient undergoing forearm cast repair.
4. A dentist providing anesthesia services for a patient undergoing hand cast application.
5. An anesthesiologist assistant assisting with anesthesia for a patient undergoing wrist cast removal.
6. A certified registered nurse anesthetist administering anesthesia for a patient undergoing forearm cast application.
7. An anesthesiologist overseeing anesthesia for a patient undergoing hand cast repair.
8. A podiatrist providing anesthesia services for a patient undergoing wrist cast removal.
9. An oral surgeon administering anesthesia for a patient undergoing hand cast application.
10. An anesthesiologist assistant assisting with anesthesia for a patient undergoing forearm cast removal.