For World Anesthesia Day, Here’s What’s New in CPT® 2018 for 00000-Range Codes

CPT 2018 changes for anesthesia

October 16 is World Anesthesia Day because the first successful demonstration of ether anesthesia occurred on that date in 1846. Boston dentist William Morton administered the ether to a patient undergoing removal of a neck tumor. Mark me down in the glad-anesthesia-is-available column.

In honor of World Anesthesia Day on Monday, let’s look at what’s new for anesthesia in CPT® 2018. If you code anesthesia for GI procedures, neurectomy, or shoulder cast application, there’s some news you need to know.

Get Ready for These GI Changes

In 2017, you have anesthesia code 00740 for upper gastrointestinal endoscopic procedures and 00810 for lower intestinal endoscopic procedures.

According to the MPFS 2018 proposed rule, CMS examined these codes as potentially misvalued, in large part because of the frequency with which anesthesia was being reported with colonoscopy. The CPT® Editorial Panel decided to delete 00740 and 00810 for 2018 and add five new codes in their place. Note that you’ll have anesthesia codes specific to ERCP and screening colonoscopy in the new code options, shown below. There is also a unique code for combined upper and lower GI procedures.

  • Upper GI
    • 00731 (Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified)
    • 00732 (… endoscopic retrograde cholangiopancreatography (ERCP))
  • Lower Intestinal
    • 00811 (Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified)
    • 00812 (… screening colonoscopy)
  • Upper and Lower GI
    • 00813 (Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum)

Based on the proposal, the upper GI codes will likely have base unit values the same as or slightly higher than 00740 in 2017. The lower intestinal codes will likely have lower base unit values than 00810 has in 2017.

1 Change Leads to Another for Shoulder Casting

Code options for anesthesia for shoulder cast application, removal, or repair will look a little different in 2018, too.

In 2017, you have 01682 for shoulder spica and 01680 for not otherwise specified (NOS) procedures.

In 2018, CPT® deletes shoulder spica code 01682. NOS code 01680 will still be available. You’ll see 01680 marked as revised in your CPT® resource because the new code set replaces a semicolon in the descriptor with a comma. (With 01682 gone, 01680 no longer needs a semicolon to show it’s part of a code family).

Say Au Revoir to Obturator Neurectomy Codes

Code 01682 isn’t the only deletion for anesthesia in 2018. These two codes are in the deleted list, too:

  • 01180 (Anesthesia for obturator neurectomy; extrapelvic)
  • 01190 (… intrapelvic).

Both codes are in the subsection for anesthesia on procedures on the pelvis (except the hip).

What About You?

How will you be sure you use the correct anesthesia codes for GI procedures in 2018? Do you work from the procedure code and check the cross code for anesthesia? Or do you tend to have your anesthesia codes memorized?

About 

Deborah concentrates on coding and compliance for radiology and cardiology, including the tricky world of interventional procedures, as well as oncology and hematology. Since joining The Coding Institute in 2004, she’s also covered the ins and outs of coding for orthopedics, audiology, skilled nursing facilities (SNFs), and more.

, , , , ,

Leave a Reply