CPT 01714: Anesthesia for Upper Arm and Elbow Tenoplasty
CPT code 01714 identifies anesthesia services provided for tenoplasty procedures involving the nerves, muscles, tendons, fascia, and bursae of the upper arm and elbow, with the operative field extending from the elbow to the shoulder. This code is relevant nationally for anesthesia billing and reimbursement for upper-extremity orthopedic surgeries where tenoplasty is performed.
Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for the code, how it fits within anesthesia service lines for upper-extremity procedures, typical sites of service, and comparisons to closely related anesthesia codes such as 01712 and 01716.
The publication provides benchmarks and policy-relevant details for payers and providers, clarifies coding scope for tenoplasty of the elbow-to-shoulder region, and highlights common coding considerations in a national context. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 01714 describes anesthesia services for procedures on the nerves, muscles, tendons, fascia, and bursae of the upper arm and elbow, specifically for tenoplasty procedures extending from the elbow to the shoulder. The service type is anesthesia for upper arm and elbow tenoplasty. The typical site of service is an operating room or surgical suite where upper extremity orthopedic procedures are performed.
Clinical & Coding Specifications
Clinical Context
A 62-year-old right-hand–dominant male with chronic lateral elbow pain and progressive weakness presents for surgical tenoplasty of the distal biceps and repair of diseased tendon tissue between the elbow and shoulder. The orthopedic surgeon schedules an open tenoplasty under general anesthesia with regional block for postoperative analgesia. Preoperative evaluation by the anesthesia team documents ASA physical status P2 for well-controlled hypertension and osteoarthritis of the knee with prior right total knee arthroplasty (Z96.651). The procedure is performed in an outpatient ambulatory surgery center; intraoperative monitoring includes standard ASA monitors and peripheral nerve block localization. The anesthesiologist administers a brachial plexus block with adjunct general anesthesia for airway control and administers perioperative multimodal analgesics. Postoperative recovery includes monitoring in the PACU and discharge when anesthesia criteria are met.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when anesthesia care required substantially greater work due to unusual circumstances (document rationale and time). |
23 | Unusual anesthesia | Use when anesthesia is medically necessary despite normally being local or no anesthesia (rare for this code). |
50 | Bilateral procedure | Use if identical procedures are performed on both upper extremities during same operative session. |
52 | Reduced services | Use when tenoplasty is partially reduced or not completed as planned. |
53 | Discontinued procedure | Use when procedure is terminated for patient safety after anesthesia is initiated. |
59 | Distinct procedural service | Use when separate, distinct procedures are performed on the same operative day requiring separate anesthesia considerations. |
62 | Two surgeons | Use when two surgeons work together as primary surgeons for distinct portions of the procedure. |
78 | Unplanned return to OR | Use for subsequent anesthesia services when patient returns to the operating room for a related procedure after the initial anesthesia. |
AA | Anesthesia by anesthesiologist | Use when a physician anesthesiologist personally performs the anesthesia services. |
QK | Medical direction of two, three, or four CRNAs | Use when physician medically directs multiple CRNAs during the case. |
QX | CRNA service furnished under physician supervision | Use when a CRNA furnishes anesthesia under the supervision of a physician (modifier denotes supervision). |
QS | Monitored anesthesia care service | Use when monitored anesthesia care is provided rather than general anesthesia or regional block alone. |
AD | Medical supervision by anesthesiologist (>4 concurrent cases) | Use when the anesthesiologist supervises more than four concurrent cases. |
| Taxonomy Code | Specialty | Notes |
|---|---|---|
207L00000X | Anesthesiology | Physician anesthesiologists who provide perioperative anesthesia and regional blocks for upper-extremity procedures. |
207LA0401X | Pain Medicine (Anesthesiology) | Anesthesiologists with pain medicine focus may provide regional techniques and perioperative pain management. |
367500000X | Certified Registered Nurse Anesthetist | CRNAs commonly deliver anesthesia for orthopedic upper-extremity procedures under various supervision models. |
Related Diagnoses
| ICD-10 Code | Description | Clinical Relevance |
|---|---|---|
M17.10 | Unilateral primary osteoarthritis, unspecified knee | Patient may have comorbid osteoarthritis impacting mobility and perioperative positioning or anesthesia risk. |
M17.11 | Unilateral primary osteoarthritis, right knee | Documents known right-knee OA that may affect rehabilitation and perioperative mobility planning. |
M17.12 | Unilateral primary osteoarthritis, left knee | Documents known left-knee OA that may affect rehabilitation and perioperative mobility planning. |
M17.5 | Other unilateral secondary osteoarthritis of knee | Indicates secondary causes of knee OA that may influence perioperative comorbidity assessment. |
Z96.651 | Presence of right artificial knee joint | Implant presence can influence anesthesia positioning, DVT prophylaxis, and perioperative documentation. |
Z96.652 | Presence of left artificial knee joint | Implant presence can influence anesthesia positioning, DVT prophylaxis, and perioperative documentation. |
Related CPT Codes
| CPT Code | Description | Relationship to This Procedure |
|---|---|---|
01712 | Anesthesia for procedures on the nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenotomy, elbow to shoulder. | Alternative anesthesia code when the specific surgical procedure is tenotomy rather than tenoplasty; selected when operative CPT corresponds to tenotomy. |
01716 | Anesthesia for procedures on the nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenodesis, rupture of long tendon of biceps. | Used when the surgical procedure is tenodesis of the biceps tendon; relevant if intraoperative findings change the planned procedure from tenoplasty to tenodesis. |