How To Use CPT Code 01958

cpt 01958 describes the anesthesia services provided for an external cephalic version procedure. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01958.

1. What is cpt 01958?

cpt 01958 is used to describe the anesthesia services provided for an external cephalic version procedure. This procedure involves turning a fetus from a sideways position to a head-down position before labor and delivery, allowing the mother to give birth vaginally. The anesthesia provider plays a crucial role in ensuring the comfort and safety of the patient during this procedure.

2. Official Description

The official description of cpt 01958 is: ‘Anesthesia for external cephalic version procedure.’

3. Procedure

The anesthesia provider performs several key steps during an external cephalic version procedure:

1. Pre-operative evaluation: The anesthesia provider assesses the patient’s medical history, current health status, and any potential risks or complications related to anesthesia.
2. Anesthesia induction: The anesthesia provider administers anesthesia to the patient, ensuring they are comfortable and pain-free throughout the procedure.
3. Monitoring: The anesthesia provider closely monitors the patient’s vital signs, such as heart rate, blood pressure, oxygen levels, and carbon dioxide levels, throughout the procedure.
4. Medication administration: The anesthesia provider administers any necessary medications to maintain anesthesia and manage pain during the procedure.
5. Documentation: The anesthesia provider records the types and amounts of medications administered, the monitoring methods used, the patient’s responses, and the start and stop times of anesthesia care.
6. Post-anesthesia care: After the procedure, the anesthesia provider oversees the patient’s transfer to the post-anesthesia care unit, ensuring their continued comfort and safety.

4. Qualifying circumstances

cpt 01958 is used when anesthesia services are provided for an external cephalic version procedure. This procedure is typically performed on pregnant patients who require assistance in turning their fetus from a sideways position to a head-down position. The anesthesia provider must evaluate the patient’s health status and determine the appropriate anesthesia approach based on their individual needs and any potential risks or complications.

5. When to use cpt code 01958

cpt 01958 should be used when anesthesia services are provided for an external cephalic version procedure. It is important to ensure that the anesthesia provider’s services are documented accurately and that the procedure is coded correctly to reflect the specific anesthesia care provided during the procedure.

6. Documentation requirements

To support a claim for cpt 01958, the anesthesia provider must document the following information:

• Pre-operative evaluation findings
• Anesthesia induction details
• Monitoring methods used during the procedure
• Medications administered
• Patient responses and vital signs
• Start and stop times of anesthesia care

7. Billing guidelines

When billing for cpt 01958, it is important to ensure that the anesthesia provider’s services are accurately documented and coded. The anesthesia time should be recorded from the start of anesthesia induction to the end of anesthesia care. Anesthesia services may be reported separately if additional monitoring methods or procedures are performed, such as the use of Swan-Ganz catheters, intra-arterial lines, or central venous lines, with sufficient supporting documentation.

8. Historical information

cpt 01958 was added to the Current Procedural Terminology system on January 1, 2004. There have been no updates to the code since its addition.

9. Similar codes to cpt 01958

There are no similar codes provided for cpt 01958 in the information available. However, it is important to consult the range for anesthesia codes related to obstetric procedures (01958-01969) to identify any potential similar codes that may be applicable.

9. Examples

Examples of cases where cpt 01958 may be billed include:

1. An anesthesia provider administering anesthesia for an external cephalic version procedure on a pregnant patient with a breech presentation.
2. An anesthesia provider providing pain management during an external cephalic version procedure for a patient with a high-risk pregnancy.
3. An anesthesia provider monitoring a patient’s vital signs and administering anesthesia during an external cephalic version procedure for a patient with a history of previous cesarean section.
4. An anesthesia provider ensuring the comfort and safety of a patient during an external cephalic version procedure for a patient with gestational diabetes.
5. An anesthesia provider administering anesthesia and managing pain during an external cephalic version procedure for a patient with a multiple pregnancy.