2025 CPT code 00846
Effective Date: N/A Revision Date: N/A Anesthesia - Lower Abdomen Feed
Anesthesia for intraperitoneal procedures in the lower abdomen, including laparoscopy; radical hysterectomy.
Modifiers are applicable. Use appropriate modifiers to explain qualifying circumstances, physical status, who performed the service and under what supervision.
Medical necessity for this code is established by the diagnosis necessitating the radical hysterectomy (e.g., cervical cancer, endometrial cancer, other conditions of uterus).
The anesthesiologist performs a pre-operative evaluation, induces anesthesia, monitors the patient throughout the radical hysterectomy, manages fluids/blood, and utilizes standard monitoring techniques. Post-operatively, they oversee the patient's transfer to post-anesthesia care.
In simple words: This code covers the anesthesia service for a major surgery to remove the uterus and surrounding tissues, often due to cancer.
This code represents anesthesia services provided for a radical hysterectomy, an intraperitoneal procedure performed in the lower abdomen. It encompasses pre- and post-operative evaluation, inducing and monitoring the patient during the procedure, administering fluids/blood, and standard monitoring (ECG, temperature, blood pressure, oximetry, capnography, mass spectrometry). It does not include unusual monitoring like Swan-Ganz catheters, intra-arterial lines, or central venous lines, which are coded separately.
Example 1: A 45-year-old female undergoes a radical hysterectomy due to cervical cancer. Code 00846 is used to report the anesthesia services for this procedure., A 60-year-old female with endometrial cancer undergoes a radical hysterectomy with bilateral salpingo-oophorectomy. Code 00846 is reported for the anesthesia service., A patient with a large uterine fibroid causing significant symptoms undergoes a radical hysterectomy (as a last option for some large fibroids cases) Code 00846 covers the anesthesia services for this procedure.
Documentation should include pre-operative evaluation, type and amount of anesthesia administered, monitoring methods used, patient responses, anesthesia start and stop times, and post-operative transfer notes. If unusual monitoring is used, it must be documented separately.
** For Medicare and other payers requiring such modifiers, specific HCPCS modifiers should be applied to anesthesia codes to further describe provided services.
- Specialties:Anesthesiology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center