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2025 CPT code 00562

Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, age 1 year or older, for all noncoronary bypass procedures (e.g., valve procedures) or for re-operation for coronary bypass more than 1 month after original operation.

This code does not include unusual forms of monitoring like Swan-Ganz catheters, intra-arterial lines, or central venous lines, which can be coded separately with appropriate documentation. When multiple anesthesia services are provided during the same encounter, the most complex code with the highest base unit value should be reported, with total anesthesia time summed across all procedures.

Modifiers may be applicable to indicate specific circumstances, such as the patient's physical status (P1-P6) or the type of anesthesia service provided. Refer to current CPT guidelines for a complete list of applicable modifiers.

Medical necessity is established by the underlying heart condition requiring surgical intervention and the use of a pump oxygenator for the specific procedure.

The anesthesiologist's responsibilities include pre-operative evaluation, inducing and monitoring the patient during the procedure, managing medications, fluids, and blood products, overseeing standard monitoring (ECG, temperature, blood pressure, oximetry, capnography, etc.), and post-operative care including transfer to a recovery area.

In simple words: This code represents anesthesia services provided during heart surgery (excluding coronary bypasses or those within a month of a bypass), where a heart-lung machine is used and the patient is at least one year old.

This code covers anesthesia services for procedures involving the heart, pericardial sac, and great vessels of the chest (such as the aorta, its major branches, and the major pulmonary vessels) in patients age 1 year or older, utilizing a pump oxygenator (heart-lung machine).It applies to non-coronary bypass procedures (like valve procedures) and re-operations for coronary bypass performed more than one month after the original bypass surgery.

Example 1: A 2-year-old child undergoes a heart valve replacement requiring a pump oxygenator., A 50-year-old patient has a re-operation for a coronary bypass 2 months after the initial surgery, requiring a pump oxygenator., A 70-year-old patient undergoes repair of an aortic aneurysm, necessitating the use of a pump oxygenator.

Documentation should include pre-anesthesia assessment, details of medications, fluids, and blood administered, monitoring techniques employed, patient responses during the procedure, anesthesia start and end times, and post-operative notes.

** Anesthesia time is calculated from preparation for induction in the operating/procedure room until the anesthesiologist ceases providing care or another provider takes over post-operative responsibility.

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