2025 CPT code 01952
(Active) Effective Date: N/A Revision Date: N/A Anesthesia - Anesthesia for Burn Excisions or Debridement Procedures Anesthesia Feed
Anesthesia services for second- and third-degree burn excision or debridement (4-9% total body surface area).
Modifiers may be added as appropriate to reflect the nature of the anesthesia service and the patient’s condition.For example, modifiers for unusual anesthesia (23), discontinued procedure (53), repeat procedures (76, 77), or medical direction of CRNAs (QK, QY, QZ) may be used.Refer to the CPT guidelines and your payer's specific guidelines.
The medical necessity for anesthesia during excision and debridement of extensive burns is established by the need for pain control, patient safety during a potentially lengthy and complex procedure, and the need for hemodynamic and respiratory support.The complexity of the procedure and patient’s condition influence the required level of anesthesia and monitoring.
The anesthesiologist is responsible for pre-operative evaluation, induction and maintenance of anesthesia, monitoring the patient's vital signs and response to anesthesia, administering medications, and overseeing post-anesthesia care and transfer to the appropriate recovery area.This does not include the surgical procedure itself, which is the responsibility of the surgeon.
In simple words: This code covers the services of an anesthesiologist during surgery to remove burned skin (excision or debridement).The doctor gives the patient medicine to make them sleep, watches them carefully during the operation, and makes sure they are comfortable afterward.The surgery treats burns covering 4% to 9% of the body's surface.
This CPT code encompasses anesthesia services provided during the excision or debridement of second- and third-degree burns, covering 4% to 9% of the total body surface area.The anesthesia provider's responsibilities include pre-operative evaluation, induction of anesthesia, monitoring during the procedure (including standard monitoring such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry), administration of fluids and/or blood as needed, and overseeing the patient's transfer to post-anesthesia care.The surgical provider may or may not perform skin grafting in conjunction with this procedure.Unusual monitoring (Swan-Ganz catheters, intra-arterial lines, or central venous lines) is billed separately. Anesthesia time is calculated from the preparation for induction to the end of anesthesia services, and units are determined by payer-specific time increments (e.g., 15-minute blocks).
Example 1: A 35-year-old male patient presents with second and third-degree burns covering 6% of his total body surface area.The patient undergoes excision and debridement under general anesthesia.The anesthesiologist performs the pre-operative assessment, administers general anesthesia, closely monitors the patient's vitals and administers supplementary medications as needed, and supervises post-anesthesia care.This scenario includes standard monitoring and fluid management., A 12-year-old female patient with 8% total body surface area affected by second and third-degree burns requires excision and debridement.General anesthesia is administered. Due to the patient’s age, the anesthesiologist carefully adjusts the anesthetic regimen. Specific monitoring, fluid and blood management are also implemented according to the pediatric burn protocols. Post-operative monitoring is extended given the patient's age., A 60-year-old patient with a history of cardiovascular disease requires excision and debridement for second and third-degree burns affecting 4% of the body surface area.The anesthesiologist implements enhanced monitoring techniques (including arterial line placement) and manages hemodynamics closely due to the patient's pre-existing conditions.This scenario involves both standard and advanced monitoring.
** Always refer to the most current CPT and payer-specific guidelines for proper coding and billing.Documentation is crucial for accurate billing and reimbursement.Accurate documentation of anesthesia time is critical for proper reimbursement calculations.
- Revenue Code: P0 (Anesthesia)
- RVU: RVUs vary depending on the payer and geographic location.Consult your payer's fee schedule for specific values.The calculation typically considers time units, base units, and other factors such as the complexity of the case.
- Global Days : The global period for anesthesia services is generally not defined as a set number of days, but rather by the time the anesthesia provider is actively involved with the patient's care, including the pre-operative and post-operative assessments.
- Payment Status: Active
- Modifier TC rule: A Technical Component (TC) modifier is generally not applicable to anesthesia codes.
- Fee Schedule : Historical fee schedules vary by payer and location.Consult payer-specific fee schedules for historical data.
- Specialties:Anesthesiology, Burn Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center