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2025 CPT code 00530

Anesthesia for permanent transvenous pacemaker insertion.

Standard anesthesia services include pre- and post-operative visits, anesthesia during the procedure, fluids/blood administration, and standard monitoring. Unusual monitoring (e.g., Swan-Ganz catheter) may be coded separately with proper documentation. Qualifying circumstances codes (e.g., 99100 for extreme age) may be applicable in complex cases.

Modifiers may be applicable to indicate specific circumstances, such as unusual anesthesia (23), discontinued procedure (53), or medical direction of multiple procedures (QK, QY). Physical status modifiers (P1-P6) and other anesthesia modifiers (AA, AD, QS, QX, QZ) should be appended as appropriate.

Medical necessity for anesthesia is determined by the patient's condition, complexity of the procedure, and any coexisting medical problems. The documentation must support the chosen anesthesia technique (general, conscious sedation, or local).

The anesthesiologist performs a pre-operative evaluation, induces anesthesia, monitors the patient's vital signs throughout the procedure, administers medications, manages any complications, and oversees post-anesthesia care. They document all medications, monitoring techniques, patient responses, and anesthesia times.

In simple words: The anesthesiologist provides pain relief and monitors your vital signs while another doctor inserts a pacemaker into your heart through a vein in your neck.

This code represents anesthesia services provided for a patient undergoing permanent transvenous pacemaker insertion. The procedure involves inserting a device via a blood vessel, typically in the neck, into the heart chambers to treat irregular heartbeats. Anesthesia services include pre-operative evaluation, inducing and monitoring the patient during the procedure, administering medications, monitoring vital signs (ECG, temperature, blood pressure, oximetry, capnography, etc.), and post-operative care.

Example 1: A 75-year-old patient with complete heart block requires a permanent pacemaker. The anesthesiologist administers general anesthesia and monitors the patient while the surgeon inserts the pacemaker leads via the subclavian vein., A 50-year-old patient with a history of difficult airway and anxiety requires a permanent pacemaker. The anesthesiologist provides conscious sedation and monitors the patient closely during the procedure., A 25-year-old patient with a congenital heart defect requires a permanent pacemaker revision. The anesthesiologist administers general anesthesia and manages the patient's complex medical needs during the procedure.

Documentation must include pre-anesthesia evaluation, type and amount of medications, anesthesia start and stop times, monitoring techniques used, patient responses, and any complications. The medical record should also justify the medical necessity of general anesthesia if used.

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