How To Use CPT Code 01990

cpt 01990 describes the physiological support provided by an anesthesiology provider during the harvesting of organ(s) from a brain-dead patient. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 01990.

1. What is cpt 01990?

cpt 01990 is used to describe the physiological support given by an anesthesiology provider during the procurement of organ(s) from a brain-dead patient. This code is used when the anesthesiology provider ensures proper blood perfusion and oxygenation in the organs and cells, administers drugs for muscle relaxation and reflex control, and monitors vital signs such as blood pressure and blood gases.

2. Official Description

The official description of cpt 01990 is: ‘Physiological support for harvesting of organ(s) from brain-dead patient.’

3. Procedure

1. The anesthesiology provider prepares the patient for anesthesia induction in the operating room or procedure room.
2. The anesthesiology provider maintains proper levels of blood perfusion and oxygenation in the organs and cells during the procurement of organ(s) from the brain-dead patient.
3. The anesthesiology provider administers drugs for muscle relaxation and reflex control based on established protocols to prevent damage to the target organs.
4. The anesthesiology provider monitors vital signs such as blood pressure and blood gases.
5. Anesthesia time typically ends after cross clamping of the aorta.

4. Qualifying circumstances

cpt 01990 is used when an anesthesiology provider provides physiological support during the procurement of organ(s) from a brain-dead patient. This code is applicable when the anesthesiology provider works to maintain proper blood perfusion and oxygenation in the organs and cells, administers drugs for muscle relaxation and reflex control, and monitors vital signs. Modifier P6 indicates a declared brain-dead patient whose organs are being removed for donor purposes.

5. When to use cpt code 01990

cpt 01990 should be used when an anesthesiology provider is involved in providing physiological support during the harvesting of organ(s) from a brain-dead patient. This code is appropriate when the anesthesiology provider ensures proper blood perfusion and oxygenation in the organs and cells, administers drugs for muscle relaxation and reflex control, and monitors vital signs during the procurement process.

6. Documentation requirements

To support a claim for cpt 01990, the anesthesiology provider must document the following information:

• Declaration of brain death
• Specific physiological support provided during the organ procurement
• Date and duration of the anesthesia time
• Monitoring of vital signs and any interventions performed
• Signature of the anesthesiology provider

7. Billing guidelines

When billing for cpt 01990, ensure that the anesthesiology provider is involved in providing physiological support during the harvesting of organ(s) from a brain-dead patient. Modifier P6 should be appended to indicate a declared brain-dead patient whose organs are being removed for donor purposes. It is important to note that cpt 01990 is an inpatient only (IPO) code and should not be reported for outpatient services.

8. Historical information

cpt 01990 was added to the Current Procedural Terminology system on January 1, 1990. The code was later added to the Inpatient Only (IPO) list by Medicare in 2017.

9. Examples

1. An anesthesiology provider providing physiological support during the procurement of heart and lungs from a brain-dead patient for transplantation.
2. An anesthesiology provider ensuring proper blood perfusion and oxygenation in the liver during the procurement process from a brain-dead patient.
3. An anesthesiology provider administering drugs for muscle relaxation and reflex control during the harvesting of kidneys from a brain-dead patient.
4. An anesthesiology provider monitoring vital signs and maintaining blood perfusion in the pancreas during the organ procurement from a brain-dead patient.
5. An anesthesiology provider providing physiological support during the procurement of multiple organs, including heart, lungs, liver, and kidneys, from a brain-dead patient.
6. An anesthesiology provider ensuring proper blood perfusion and oxygenation in the intestines during the organ procurement from a brain-dead patient.
7. An anesthesiology provider administering drugs for muscle relaxation and reflex control during the harvesting of corneas from a brain-dead patient.
8. An anesthesiology provider monitoring vital signs and maintaining blood perfusion in the spleen during the organ procurement from a brain-dead patient.
9. An anesthesiology provider providing physiological support during the procurement of bone marrow from a brain-dead patient.
10. An anesthesiology provider ensuring proper blood perfusion and oxygenation in the skin grafts during the organ procurement from a brain-dead patient.