Summary & Overview
CPT 4562F: Perioperative Documentation of No Coronary Stent
CPT code 4562F denotes documentation that a patient who received anesthesia does not have a coronary stent. This perioperative quality measure is relevant for clinicians and payers because it clarifies a key cardiac device status in the perioperative evaluation, with implications for anesthesia planning, anticoagulation management, and quality reporting. Nationally, consistent use of this measure supports standardized perioperative safety checks and payer quality programs.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the clinical context for the code, the typical service setting (operating room or other procedural anesthesia locations), and what the code represents in perioperative documentation. The publication outlines common benchmarking and policy considerations tied to perioperative quality measures, clarifies how the code is used in clinical workflows, and highlights gaps where input data is not available.
Data not available in the input: common modifiers, associated taxonomies, ICD-10 diagnosis mappings, related billing codes, and detailed payer-specific policies.
Billing Code Overview
CPT code 4562F indicates the Perioperative 2 measure reporting that a patient who received anesthesia does not have a coronary stent. The code is used by the physician to document the absence of a coronary stent in the perioperative period for a patient undergoing anesthesia.
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Service type: Perioperative documentation related to anesthesia care
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Typical site of service: Operating room or other procedural areas where anesthesia is administered
Clinical & Coding Specifications
Clinical Context
A typical patient scenario involves an adult scheduled for a noncardiac surgical procedure under general or monitored anesthesia care. The preoperative assessment documents the patients coronary stent history. For patients without a coronary stent, the anesthesia team records 4562F to indicate that no coronary stent is present. Workflow: preoperative evaluation by anesthesia provider, review of cardiovascular history and prior procedures, verification of medication list (especially antiplatelet therapy), intraoperative anesthesia delivery, and perioperative documentation that explicitly notes absence of a coronary stent. This code is used to meet perioperative quality reporting requirements and does not represent a separately billable anesthesia procedure.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
AA | Anesthesia services performed personally by anesthesiologist | Use when the anesthesiologist personally performs the anesthesia care |
QK | Medical direction of two, three or four concurrent anesthesia procedures involving qualified individuals |