CPT 01190: Deleted Procedural Code (effective Jan. 1, 2018) - OpenPayer

Summary & Overview

CPT 01190: Deleted Procedural Code (effective Jan. 1, 2018)

Headline: CPT code 01190 Deleted as of Jan. 1, 2018; code retired from billing use

Lead: CPT code 01190 is a deleted procedural code, removed from the CPT code set effective Jan. 1, 2018. The deletion means the code no longer represents a valid, billable service within the CPT taxonomy and should not be used for current claims submission.

What this code represented and why it matters: Although the specific procedural details are no longer active, the deletion of 01190 has implications for clinical documentation, historical claim review, and mapping to current procedure codes. Nationally, deleted CPT codes affect claim adjudication, retrospective utilization analyses, and the need to map legacy records to active codes for continuity of care and reporting.

Key payers covered: The analysis addresses common national payers, including Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and Medicare.

What readers will learn: The publication provides context on the code deletion, guidance on interpreting historical records that reference 01190, and pointers to related active procedures clinicians and billers commonly consider when reconciling past claims. It also summarizes the code’s removal date and outlines the relevance for national payers and retrospective billing workflows.

Note: Specific service details and comparable active replacement codes are not provided in the input and will require reference to current CPT resources.

AetnaBlue Cross Blue ShieldCignaUnitedHealthcareMedicareCPT 01190code deletionprocedure codingbilling complianceclaims reconciliationanesthesiologyorthopedicscode mapping

Billing Code Overview

CPT code 01190 is a deleted code, with deletion effective Jan. 1, 2018. The original descriptor indicates a service that is no longer billable under this CPT code.

Service type: Deleted/Not applicable

Typical site of service: Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A 72-year-old female with a history of osteoporosis and metastatic disease to the pelvis presents after a ground‑level fall with acute left hip and pelvic pain. Imaging demonstrates a pathological fracture of the pubis and an unspecified pelvic fracture with concern for collapse of the femoral head. The orthopaedic team schedules operative management that may include open treatment of the proximal femur, hemiarthroplasty, or total hip arthroplasty depending on intraoperative findings. Anesthesia is provided by an anesthesiology physician or certified registered nurse anesthetist in an acute care operating room. Perioperative workflow includes pre‑operative evaluation with review of comorbidities and imaging, intraoperative anesthesia care and monitoring, surgical repair or arthroplasty with possible intraoperative management of musculoskeletal complications, and post‑anesthesia recovery with inpatient postoperative orthopaedic and rehabilitation planning.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work or resources required are substantially greater than typically required for the procedure due to complexity (e.g., extensive pelvic bone loss, unexpected tumor involvement).
`25`

Related Codes

01120

CPT 01120: Anesthesia for Procedures on Bony Pelvis

cpt-00914-anesthesia-transurethral-prostate-removal

CPT 00914: Anesthesia for Transurethral Prostate Removal

01130

CPT 01130: Anesthesia for Body Cast Procedure

cpt-00902-anesthesia-for-anus-rectum-procedures

CPT 00902: Anesthesia for Procedures on Anus or Rectum

00940

CPT 00940: Anesthesia for Female Perineum Procedures

cpt-00952-anesthesia-for-hysteroscopy-hysterosalpingography

CPT 00952: Anesthesia for Hysteroscopy or Hysterosalpingography

cpt-00948-anesthesia-for-cervical-cerclage

CPT 00948: Anesthesia for Cervical Cerclage

00902

CPT 00902: Anesthesia for Perineal Procedures, Not Otherwise Specified

01173

CPT 01173: Anesthesia for Pelvic Procedures (Except Hip)

cpt-01150-anesthesia-radical-pelvic-tumor-procedure

CPT 01150: Anesthesia for Radical Pelvic Tumor Procedures

Showing 1–10 of 71

Taxonomy Code	Specialty	Notes
`207L00000X`	Anesthesiology Physician	Provides anesthesia evaluation and intraoperative management for orthopaedic pelvic/hip procedures.
`367500000X`	Certified Registered Nurse Anesthetist	Provides anesthesia care under supervision or direction in the operative setting.
`207LC0200X`	Critical Care Medicine (Anesthesiology)	Involved when perioperative critical care is required for unstable patients or complex postoperative management.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`S32.9XXA`	Fracture of unspecified part of lumbar spine and pelvis, initial encounter	Indicates an acute pelvic or lower spine fracture requiring surgical assessment and possible operative fixation or arthroplasty.
`M84.459A`	Pathological fracture in neoplastic disease, pelvis, initial encounter	Reflects fracture due to metastatic bone disease of the pelvis, often necessitating specialized orthopaedic oncologic management and possible prosthetic reconstruction.
`M96.89`	Other intraoperative and postprocedural complications and disorders of musculoskeletal system	Used for complications arising intraoperatively or postoperatively related to musculoskeletal procedures on the pelvis or hip.
`M87.051`	Idiopathic aseptic necrosis of pelvis	Indicates avascular necrosis of pelvic or adjacent femoral bone contributing to collapse and need for arthroplasty or fixation.
`S32.5XXA`	Fracture of pubis, initial encounter for closed fracture	Specifies an acute pubic bone fracture commonly associated with pelvic ring injuries requiring operative stabilization or concurrent hip procedures.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`27130`	Total hip arthroplasty	May be performed if acetabular or femoral head damage necessitates complete joint replacement during management of pelvic or proximal femoral pathological fractures.
`27236`	Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement	Used for fixation or prosthetic replacement of femoral neck fractures encountered during operative management of pelvic/hip fractures.
`27125`	Hemiarthroplasty, hip, partial (e.g., femoral stem prosthesis, bipolar arthroplasty)	Employed when partial hip replacement is appropriate for displaced femoral head fractures or pathological proximal femur fractures.
`27245`	Open treatment of femoral fracture, proximal end, head; with internal fixation	Used when the femoral head is involved and requires open reduction with internal fixation as part of the operative plan.