In simple words: The doctor gives you medicine to make you comfortable and pain-free during an open surgery on your hip. They will check on you before the surgery, give you medicine to make you sleep or numb, and carefully watch you during the procedure. Afterward, they will make sure you are okay before you go to a recovery area.

The provider performs anesthesia services for a patient undergoing an open procedure of the hip joint. The anesthesia provider performs a preoperative evaluation of the patient. The anesthesia provider induces the patient and monitors the patient during the open surgical procedure of the hip joint. The anesthesia provider notes any types and amounts of medications administered, all forms of monitoring used, patient responses, and the start and stop times of anesthesia care. Following the procedure, the anesthesia provider oversees the patient’s transfer to post anesthesia care. The services represented by anesthesia codes 00100 to 01999 include a pre and postoperative visit to assess the patient, anesthesia care during the procedure, the administration of fluids and/or blood as necessary, and standard monitoring services such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry.

Example 1: A patient undergoes an open reduction and internal fixation of a hip fracture., A patient undergoes an open hip arthrotomy for drainage of an infected hip joint., A patient undergoes an open revision of a total hip arthroplasty.

Documentation should include patient history and physical, pre-anesthesia assessment, type and amount of anesthesia administered, monitoring techniques used, patient response, start and stop times of anesthesia, and post-anesthesia notes.