2025 CPT code 01760
(Active) Effective Date: N/A Revision Date: N/A Anesthesia - Anesthesia for Procedures on the Upper Arm and Elbow Anesthesia Feed
Anesthesia services for total elbow replacement.
Modifiers may be appended to 01760 to indicate specific circumstances such as the type of anesthesia provider (AA, QX, QZ), medical direction (QY, QK), or qualifying circumstances (e.g., 99100 for extreme age).
Medical necessity for a total elbow replacement is established when conservative treatment options such as medication, physical therapy, and injections have failed to alleviate the patient's pain and improve elbow function.The procedure is considered medically necessary to restore joint function, reduce pain, and improve quality of life for patients with severe arthritis or other debilitating elbow conditions. Documentation supporting the failure of conservative measures is essential for demonstrating medical necessity.
The anesthesiologist is responsible for the pre-operative evaluation of the patient, administering anesthesia, monitoring the patient during the procedure, documenting medication, monitoring methods and patient response and overseeing post-anesthesia care transfer.
In simple words: The doctor gives anesthesia (medicine to make you sleep) for a surgery to replace your elbow joint with an artificial one.They check on you before, during, and after the surgery.
This CPT code encompasses anesthesia services rendered during a total elbow replacement procedure.The anesthesia provider conducts a pre-operative evaluation, induces and monitors the patient throughout the surgery performed by another provider, meticulously documents all medications administered, monitoring methods used, patient responses, and anesthesia start/stop times. Post-operatively, the provider oversees patient transfer to post-anesthesia care. Standard monitoring (ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry) is included; however, unusual monitoring (Swan-Ganz catheters, intra-arterial lines, or central venous lines) requires separate coding with sufficient documentation.
Example 1: A 65-year-old female patient with osteoarthritis undergoes a total elbow replacement. The anesthesiologist performs a pre-operative evaluation, administers general anesthesia with nerve block, monitors vital signs throughout the procedure, and manages any complications arising during anesthesia., A 40-year-old male patient sustains a severe elbow fracture requiring total elbow replacement. The anesthesiologist performs a thorough pre-operative assessment, considering the patient's medical history and the complexity of the surgery, and manages the anesthesia accordingly., A 72-year-old patient with rheumatoid arthritis needs a total elbow replacement.The anesthesiologist chooses a modified anesthesia plan due to the patient's age and pre-existing health conditions, using specific monitoring techniques and medication adjustments.
* Pre-operative anesthesia evaluation notes including patient history, physical examination findings, and assessment of risk factors.* Anesthesia record detailing the type of anesthesia used (general, regional, or a combination), medications administered, dosages, times of administration, and any adverse events.* Intraoperative monitoring data, including vital signs (heart rate, blood pressure, oxygen saturation, respiratory rate), ECG tracing, and any other monitoring used (e.g., capnography).* Post-operative notes documenting the patient's recovery, any complications encountered, and the time of transfer to post-anesthesia care.
** Anesthesia time is a crucial factor in determining the total units billed. Payers may use different time increments (e.g., 15 minutes, 8 minutes), so you should confirm the payer's specific guidelines before billing.The complexity of the surgery may influence the anesthesia base units.
- Revenue Code: P0 (ANESTHESIA)
- Payment Status: Active
- Specialties:Anesthesiology, Orthopaedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center