Summary & Overview
CPT 01130: Anesthesia for Body Cast Procedure
Headline: Anesthesia for Body Cast Procedures Draws Attention for Specialized Perioperative Care
Lead: CPT 01130 denotes anesthesia services provided during body cast procedures such as applying or revising a body cast. The code captures perioperative anesthetic management for procedures that immobilize large body segments, typically billed by anesthesiology providers in hospital or ambulatory surgical settings.
What the code represents and why it matters: CPT 01130 identifies a focused anesthesiology service tied to body cast application or revision. Nationally, accurate coding of this service affects care coordination, resource planning, and payment processes for procedures that may require specialized airway, positioning, or monitoring considerations.
Key payers covered: This overview addresses payer approaches from Aetna, Blue Cross Blue Shield, Cigna Health, and UnitedHealthcare.
What readers will learn: The publication outlines coding context, common clinical indications, billing patterns, and payer coverage considerations for CPT 01130. It summarizes benchmarks for typical sites of service and clarifies where data is not provided. The piece highlights associated clinical scenarios, common ICD-10 diagnoses seen with these procedures, and related anesthesia service codes for reference.
Scope and limitations: Service line metadata is not provided in the input. Data not available in the input is noted where applicable. The content is intended for a national audience and does not reference specific state policy.
CPT Code Overview
CPT 01130 describes anesthesia services provided for body cast procedures, such as applying or revising a body cast. This code is used for anesthesiology care during procedures that require immobilization of the torso or large body segments with a cast.
Service type: Anesthesiology
Typical site of service: Physician billing to Carrier (typically hospital or surgical center)
Clinical & Coding Specifications
Clinical Context
A middle-aged patient presents to the hospital operating room or surgical center for application or revision of a body cast to immobilize the thorax, spine, or pelvis after traumatic injury or to manage postoperative spinal stabilization. Typical presenting problems include acute low back pain after trauma, fractures involving the lumbar spine or pelvis, or care following spinal surgery with persistent symptoms. The patient is evaluated preoperatively by the anesthesia team, including an anesthesiologist or Certified Registered Nurse Anesthetist (CRNA). Standard pre-anesthesia assessment, airway evaluation, and review of comorbidities are completed. Monitored anesthesia care (MAC) or general anesthesia may be provided depending on patient status, extent of the casting procedure, and surgeon preference. Intraoperative physiologic monitoring is performed, and post-anesthesia recovery includes pain control and monitoring for neurovascular compromise of the immobilized areas. Documentation in the anesthesia record includes indication, anesthetic technique, medications, monitoring, and any complications.
Coding Specifications
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Modifiers
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QS: Monitored anesthesia care service — use when the anesthesia provided is MAC for the body cast procedure. -
QX: CRNA service with medical direction by a physician — use when a Certified Registered Nurse Anesthetist furnishes the anesthesia under medical direction as defined by payer rules. -
Provider Taxonomies