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2025 CPT code 00474

Anesthesia services for partial rib resection involving radical procedures.

Modifiers such as P1-P6 (physical status modifiers), AA, AD, QK, QY, GC, QX, QZ (anesthesia modifiers), G8, G9, and QS (MAC modifiers), and 23 (unusual anesthesia), 53 (discontinued procedure), 76/77 (repeat procedure) can be applicable based on the specific circumstances of the procedure.

Medical necessity for this code is established by the underlying medical condition necessitating the partial rib resection. Documentation supporting the diagnosis and treatment plan is required.

The anesthesia provider is responsible for the patient's well-being before, during, and immediately after the procedure. This includes pre-operative assessment, inducing and maintaining anesthesia, monitoring vital signs, administering medications, managing fluids/blood, and overseeing post-anesthesia recovery.

In simple words: The anesthesiologist provides all necessary care related to anesthesia for a surgery where a part of the ribs is removed. This is a major procedure done to fix conditions like a hollow chest. The anesthesiologist assesses the patient before surgery, gives them medication to make them sleep during surgery, and carefully watches their vital signs throughout the operation.

Anesthesia services for a patient undergoing a partial rib resection in which a portion of the ribs is removed. This radical procedure involves extensive measures for treating conditions such as pectus excavatum. The anesthesia provider performs a pre-operative evaluation, induces the patient, and monitors the patient during the procedure. This includes administering medications, monitoring vital signs (ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry), managing fluids and/or blood, and overseeing the patient's transfer to post-anesthesia care.

Example 1: A patient with pectus excavatum undergoes a Nuss procedure, requiring partial rib resection. The anesthesiologist provides general anesthesia, monitors vital signs, and manages pain during the procedure., A patient requires resection of a rib due to a tumor. The anesthesiologist provides anesthesia, monitors the patient's condition throughout the surgery, and manages post-operative pain., A patient with a chest wall deformity undergoes a rib-spreading procedure. The anesthesiologist administers and monitors the anesthesia and ensures the patient remains stable during the operation.

Documentation should include pre-anesthesia assessment, type and amount of medications, monitoring methods used, patient responses, anesthesia start and stop times, and post-anesthesia care notes.

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