How To Use CPT Code 01965

cpt 01965 describes the anesthesia services provided for incomplete or missed abortion procedures. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01965.

1. What is cpt 01965?

cpt 01965 is used to describe the anesthesia services provided for incomplete or missed abortion procedures. This code is used when an anesthesia provider performs a pre-operative evaluation, induces the patient, monitors the patient during the procedure, and oversees the patient’s transfer to post-anesthesia care. The anesthesia provider documents the types and amounts of medications administered, forms of monitoring used, patient responses, and the start and stop times of anesthesia care.

2. Official Description

The official description of cpt 01965 is: ‘Anesthesia for incomplete or missed abortion procedures.’

3. Procedure

1. The anesthesia provider performs a pre-operative evaluation of the patient.
2. The anesthesia provider induces the patient and monitors the patient during the incomplete or missed abortion procedure performed by a different provider.
3. The anesthesia provider notes the types and amounts of medications administered, 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 01965 is used for anesthesia services provided for incomplete or missed abortion procedures. An incomplete abortion occurs when only some of the products of conception leave the body, while a missed abortion refers to a situation where the fetus dies during the pregnancy and remains in the uterus. The anesthesia provider must perform a pre-operative evaluation, induce the patient, monitor the patient during the procedure, and oversee the patient’s transfer to post-anesthesia care.

5. When to use cpt code 01965

cpt 01965 should be used when an anesthesia provider performs anesthesia services for incomplete or missed abortion procedures. It is important to ensure that the anesthesia provider performs a pre-operative evaluation, induces the patient, monitors the patient during the procedure, and oversees the patient’s transfer to post-anesthesia care.

6. Documentation requirements

To support a claim for cpt 01965, 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
• Overseeing the patient’s transfer to post-anesthesia care

7. Billing guidelines

When billing for cpt 01965, ensure that the anesthesia provider performs a pre-operative evaluation, induces the patient, monitors the patient during the procedure, and oversees the patient’s transfer to post-anesthesia care. It is important to follow the specific billing guidelines provided by the payer, including any required modifiers or additional documentation.

8. Historical information

cpt 01965 was added to the Current Procedural Terminology system on January 1, 2006. There have been no updates to the code since its addition.

9. Examples

1. An anesthesia provider performing anesthesia services for an incomplete abortion procedure.
2. An anesthesia provider providing anesthesia for a missed abortion procedure.
3. An anesthesia provider performing anesthesia for an incomplete abortion procedure followed by a vaginal repair.
4. An anesthesia provider administering anesthesia for a missed abortion procedure followed by a cesarean delivery.
5. An anesthesia provider overseeing anesthesia care for an incomplete abortion procedure followed by a cesarean hysterectomy.
6. An anesthesia provider performing anesthesia for an incomplete abortion procedure following attempted vaginal delivery.
7. An anesthesia provider providing anesthesia for a missed abortion procedure following vaginal delivery.
8. An anesthesia provider administering anesthesia for an incomplete abortion procedure followed by a cesarean hysterectomy following attempted vaginal delivery.
9. An anesthesia provider overseeing anesthesia care for an incomplete abortion procedure followed by a cesarean hysterectomy following vaginal delivery.
10. An anesthesia provider performing anesthesia for an incomplete abortion procedure followed by an unlisted anesthesia procedure.