Summary & Overview
CPT 01652: Anesthesia for Axillary-Brachial Aneurysm Procedures
CPT code 01652 designates anesthesia services for surgical procedures addressing axillary-brachial aneurysms. This code is significant for providers and payers nationwide, as it ensures accurate billing and reimbursement for complex vascular anesthesia care. The code is most commonly utilized in outpatient hospital settings, reflecting the trend toward ambulatory surgical management of vascular conditions.
Major national payers, including Aetna, Blue Cross Blue Shield, Cigna Health, and UnitedHealthcare, recognize and reimburse for CPT code 01652. The publication provides a comprehensive overview of payer coverage, typical clinical scenarios, and relevant policy updates. Readers will gain insight into the clinical context of axillary-brachial aneurysm procedures, common modifiers used in billing, and associated provider taxonomies. Additionally, the summary highlights related CPT codes and ICD-10 diagnoses that may be encountered in conjunction with this anesthesia service.
This article serves as a resource for understanding the scope of anesthesia billing for axillary-brachial aneurysm procedures, offering benchmarks and policy perspectives relevant to hospitals, anesthesiologists, and certified registered nurse anesthetists. The information is organized to support compliance and clarity in medical billing and coding practices.
CPT Code Overview
CPT code 01652 is used to report anesthesia services for procedures involving an axillary-brachial aneurysm. This code is classified under anesthesia and is typically performed in an outpatient hospital setting (Place of Service 22). The procedure requires specialized anesthesia care to ensure patient safety and comfort during surgical intervention on the axillary-brachial arteries.
Clinical & Coding Specifications
Clinical Context
A patient presents to the outpatient hospital with an axillary-brachial artery aneurysm requiring surgical intervention. The procedure involves anesthesia services for the repair or management of the aneurysm in the axillary-brachial region. The clinical workflow includes preoperative assessment, administration of anesthesia by an anesthesiologist or certified registered nurse anesthetist, intraoperative monitoring, and postoperative care. The patient may have comorbid conditions such as pain in the lower extremities or recent fractures, as indicated by associated ICD-10 diagnoses.
Coding Specifications
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Modifiers:
QS: Monitored anesthesia care service. Used when anesthesia is provided with continuous monitoring but not general anesthesia.QX: CRNA service with medical direction by a physician. Used when a certified registered nurse anesthetist provides anesthesia under physician supervision.
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Provider Taxonomies:
Taxonomy Code Specialty Name 207L00000X