How To Use CPT Code 01916
cpt 01916 describes the anesthesia services provided for a patient undergoing diagnostic arteriography or venography. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01916.
1. What is cpt 01916?
cpt 01916 is used to describe the anesthesia services provided to a patient undergoing diagnostic arteriography or venography. This code is used when an anesthesia provider performs a pre-operative evaluation, induces the patient, monitors them during the procedure, administers medications, and oversees the patient’s transfer to post-anesthesia care. It is important to note that cpt 01916 should not be reported in conjunction with therapeutic codes 01924-01926 and 01930-01933.
2. Official Description
The official description of cpt 01916 is: ‘Anesthesia for diagnostic arteriography/venography.’
3. Procedure
The anesthesia provider begins by performing a pre-operative evaluation of the patient. They then induce the patient and monitor them throughout the diagnostic arteriography or venography procedure, which is performed by a different provider. The anesthesia provider administers any necessary medications and utilizes standard monitoring services such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry. After the procedure, the anesthesia provider oversees the patient’s transfer to post-anesthesia care.
4. Qualifying circumstances
cpt 01916 is used for patients undergoing diagnostic arteriography or venography. Arteriography involves injecting a radiopaque dye into an artery to diagnose any blockage, obstruction, or pathology within the artery. Venography involves injecting a radiopaque dye into a vein for diagnostic purposes. It is important to note that cpt 01916 should not be reported with therapeutic codes 01924-01926 and 01930-01933.
5. When to use cpt code 01916
cpt 01916 should be used when an anesthesia provider is involved in providing anesthesia services for a patient undergoing diagnostic arteriography or venography. It is important to ensure that the anesthesia provider performs a pre-operative evaluation, induces the patient, monitors them during the procedure, administers medications, and oversees their transfer to post-anesthesia care.
6. Documentation requirements
To support a claim for cpt 01916, the anesthesia provider must document the following information:
- Pre-operative evaluation of the patient
- Administration of anesthesia medications
- Start and stop times of anesthesia care
- Types and amounts of medications administered
- Monitoring services used during the procedure
- Patient responses and any complications
- Transfer of the patient to post-anesthesia care
7. Billing guidelines
When billing for cpt 01916, ensure that the anesthesia provider performs a pre-operative evaluation, induces the patient, monitors them during the procedure, administers medications, and oversees their transfer to post-anesthesia care. Do not report cpt 01916 in conjunction with therapeutic codes 01924-01926 and 01930-01933.
8. Historical information
cpt 01916 was added to the Current Procedural Terminology system on January 1, 1990. On January 1, 2002, the code description was changed to specify anesthesia for arteriograms, needle; carotid or vertebral.
9. Examples
- An anesthesia provider performing anesthesia services for a patient undergoing diagnostic arteriography of the lower extremity.
- An anesthesia provider administering anesthesia to a patient undergoing diagnostic venography of the abdominal aorta.
- An anesthesia provider monitoring a patient during diagnostic arteriography of the head and neck.
- An anesthesia provider overseeing the transfer of a patient to post-anesthesia care following diagnostic venography of the pulmonary circulation.
- An anesthesia provider performing a pre-operative evaluation and inducing a patient for diagnostic arteriography of the spinal canal and cord.
