Summary & Overview
CPT 01484: Anesthesia for Osteotomy or Osteoplasty of Tibia and/or Fibula
CPT code 01484 represents anesthesia services for open procedures on the bones of the lower leg, ankle, and foot, specifically osteotomy or osteoplasty of the tibia and/or fibula. This code is significant for hospitals and anesthesia providers nationwide, as it ensures proper billing and documentation for complex orthopedic surgeries requiring specialized anesthesia care. The code is most commonly used in inpatient hospital settings, reflecting the complexity and intensity of these procedures.
Major national payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, and UnitedHealthcare. Readers will gain insights into payer coverage, clinical context, and relevant policy updates for anesthesia services associated with orthopedic surgery. The publication also highlights common modifiers, associated provider taxonomies, and related CPT codes, offering a comprehensive overview for stakeholders involved in anesthesia billing and compliance.
Key benchmarks and clinical context are provided to help readers understand the scope and application of CPT code 01484 within the broader landscape of orthopedic surgical care. The summary includes information on typical diagnoses, such as unilateral primary osteoarthritis and the presence of artificial knee joints, which are frequently associated with these procedures. This resource is designed to inform healthcare professionals, billing specialists, and policy analysts about the latest developments and requirements for anesthesia services in orthopedic surgery.
CPT Code Overview
CPT code 01484 is used to report anesthesia services for open procedures involving the bones of the lower leg, ankle, and foot, specifically for osteotomy or osteoplasty of the tibia and/or fibula. This code applies to cases where a surgical intervention is performed to cut or reshape these bones. The service type is anesthesia, and the typical site of service is an inpatient hospital setting (Place of Service 21). This code is essential for accurately documenting and billing anesthesia care provided during complex orthopedic surgeries on the lower extremities.
Clinical & Coding Specifications
Clinical Context
A typical patient scenario involves an adult patient admitted to an inpatient hospital for surgical correction of a bone deformity or degenerative condition affecting the tibia and/or fibula. The patient may have a diagnosis such as unilateral primary osteoarthritis of the knee or may have a history of knee joint replacement. The surgical team performs an osteotomy or osteoplasty of the tibia and/or fibula to address pain, improve function, or correct alignment. Anesthesia services are provided throughout the open procedure, ensuring patient comfort and safety during the operation.
Coding Specifications
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Modifiers:
QS: Monitored anesthesia care service. Used when anesthesia is provided in a manner that allows the patient to remain responsive but comfortable, typically for procedures where full general anesthesia is not required.QX: CRNA service with medical direction by a physician. Used when a Certified Registered Nurse Anesthetist (CRNA) provides anesthesia care under the medical direction of a physician.
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Provider Taxonomies:
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