2025 CPT code 00620
Effective Date: N/A Anesthesia - Spine and Spinal Cord Feed
Anesthesia for procedures on the thoracic spine and cord.
Modifiers may be applicable to indicate specific circumstances, such as unusual anesthesia (23), physical status (P1-P6), or the type of provider administering anesthesia (AA, AD, QK, QY, GC, QX, QZ, G8, G9, QS).
Medical necessity is established by the diagnosis and the surgical procedure performed on the thoracic spine and cord. Documentation should support the need for anesthesia services.
The anesthesiologist performs a pre-operative evaluation, induces anesthesia, monitors the patient during the procedure, administers necessary medications and fluids, manages any complications, and oversees the patient's transfer to post-anesthesia care. They also document all medications, monitoring methods, patient responses, and anesthesia times.
In simple words: The anesthesiologist provides pain relief and manages the patient's vital signs during a procedure on their mid-back spine and spinal cord.
This code represents anesthesia services provided for procedures performed on the thoracic spine and spinal cord, when no other specific anesthesia code applies. It includes pre- and post-operative evaluation, inducing anesthesia, monitoring the patient throughout the procedure, administering fluids and/or blood, and standard monitoring services (ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry). It does not include unusual forms of monitoring like Swan-Ganz catheters, intra-arterial lines, or central venous lines, which can be coded separately with proper documentation.
Example 1: A patient with a herniated disc in the thoracic spine undergoes a discectomy. Code 00620 is used for the anesthesia services provided., A patient with spinal stenosis in the thoracic region undergoes a laminectomy. Code 00620 is reported for the anesthesia provided during the procedure., A patient undergoes surgery for spinal cord injury repair at the T5 level. Code 00620 covers the anesthesia services for this procedure.
Documentation should include pre-anesthesia evaluation, type and amount of medications used, methods of monitoring, patient responses, start and stop times of anesthesia, and post-operative notes.
- RVU:
- Specialties:Anesthesiology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center