Summary & Overview
CPT 00192: Anesthesia for Radical Facial Bone or Skull Surgery
CPT code 00192 covers anesthesia for radical surgical procedures on facial bones or the skull, including operations addressing prognathism. This code is significant for its application in complex craniofacial surgeries, where specialized anesthesia care is essential for patient safety and surgical outcomes. Nationally, the code is recognized by major commercial payers such as Aetna, Blue Cross Blue Shield, Cigna Health, and UnitedHealthcare, ensuring broad coverage for these advanced procedures.
This publication provides a comprehensive overview of CPT code 00192, including payer coverage, clinical context, and policy benchmarks. Readers will gain insight into the typical outpatient hospital setting where these services are rendered, as well as the importance of anesthesia in facilitating radical facial and skull surgeries. The analysis also highlights relevant modifiers, provider taxonomies, and associated diagnoses, offering a clear understanding of billing and clinical considerations. Policy updates and reimbursement trends are discussed to inform stakeholders about current practices and expectations in anesthesia billing for craniofacial surgery.
Healthcare professionals, administrators, and policy analysts will find this summary useful for understanding the scope and significance of CPT code 00192 in the national landscape, including payer policies and clinical benchmarks for anesthesia services in radical facial and skull procedures.
CPT Code Overview
CPT code 00192 is used to report anesthesia services for radical surgical procedures involving the facial bones or skull, including surgeries for prognathism. This code is specific to anesthesia care provided during complex craniofacial operations. The typical site of service for procedures billed under CPT code 00192 is an outpatient hospital setting, designated as Place of Service 22. The service type is anesthesia, reflecting the critical role of anesthesiology professionals in ensuring patient safety and comfort during these advanced surgical interventions.
Clinical & Coding Specifications
Clinical Context
A patient presents to an outpatient hospital setting for radical surgery involving the facial bones or skull, such as procedures to correct prognathism (abnormal protrusion of the jaw). The anesthesia team, which may include an anesthesiology physician or a certified registered nurse anesthetist (CRNA), provides anesthesia services for the duration of the surgery. The clinical workflow involves preoperative assessment, administration of anesthesia, intraoperative monitoring, and postoperative care. The procedure is typically performed for patients requiring extensive surgical intervention on facial bones or the skull, often due to congenital abnormalities, trauma, or disease.
Coding Specifications
Common Modifiers:
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QS- Monitored anesthesia care service: Used when the anesthesia provider delivers monitored anesthesia care rather than general anesthesia. -
QX- CRNA service with medical direction by a physician: Used when a CRNA provides anesthesia services under the medical direction of a physician.
Associated Provider Taxonomies:
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