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2025 CPT code 01392

Anesthesia for all open procedures on the upper ends of the tibia, fibula, and/or patella.

This code is used for open procedures. For closed or arthroscopic procedures, other codes apply. Time is a crucial factor in anesthesia billing, so accurate documentation of start and end times is necessary.

Modifiers may be applicable to this code to denote specific circumstances, such as unusual anesthesia, physical status, or the involvement of other healthcare professionals.

Medical necessity for this code is established by the underlying surgical procedure. The documentation should support the medical necessity of the surgery.

The anesthesiologist's responsibilities include pre-operative evaluation, inducing anesthesia, monitoring the patient's vital signs throughout the procedure, administering medication, managing any complications, and overseeing post-anesthesia care.

In simple words: This code covers the anesthesia given during open surgery on the upper parts of the shin bones and kneecap.

This code represents anesthesia services provided for open surgical procedures on the upper ends of the tibia, fibula, and/or patella. These procedures may include open reduction and internal fixation of fractures, excision of lesions, or other open surgical interventions on these structures.

Example 1: Open reduction and internal fixation of a proximal tibia fracture., Excision of a tumor from the proximal fibula., Open repair of a patellar tendon rupture.

Documentation should include patient history and physical, pre-anesthesia assessment, type and amount of anesthesia administered, monitoring records, and post-anesthesia notes. The operative report from the surgeon is also essential for accurate coding.

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