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BETA v.3.0

2025 CPT code 01234

Anesthesia for radical resection of the upper two-thirds of the femur.

Use modifier -23 for unusual anesthesia. Physical status modifiers (P1-P6) describe the patient’s health status.

Modifiers such as -23 for unusual anesthesia, -53 for discontinued procedure, and others are applicable. HCPCS modifiers for MAC include G8, G9 and QS and for CRNA services include QX, QY, QZ, AA and AD.

Medical necessity is established by the underlying condition requiring radical resection of the upper two-thirds of the femur.

The anesthesia provider performs a pre-operative evaluation, induces the patient, monitors vital signs during the procedure, administers medications, and oversees post-anesthesia care. They document all medications, monitoring, patient responses, and anesthesia times.

In simple words: The doctor provides anesthesia for extensive surgical removal of tissue from the thigh bone.

Anesthesia services for open procedures involving the upper two-thirds of the femur; radical resection.

Example 1: A patient with osteosarcoma of the proximal femur undergoes a radical resection., A patient with a high-grade soft tissue sarcoma of the thigh requires a radical resection., A patient with metastatic bone disease in the upper femur undergoes a radical resection for palliative care.

Pre-operative evaluation, anesthesia record including start and stop times, medications administered, monitoring used, patient responses, and post-anesthesia notes.

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