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2025 CPT code 00542

Anesthesia services for thoracotomy procedures involving the lungs, pleura, diaphragm, and mediastinum, including surgical thoracoscopy and decortication.

Refer to the current CPT guidelines for anesthesia coding.The guidelines address such issues as time units, base units, qualifying circumstances, and the use of modifiers.

Modifiers may apply based on specific circumstances.Examples include modifiers to indicate the type of anesthesia provided, the use of unusual monitoring techniques, and the involvement of other providers.Consult the CPT manual and payer guidelines for specific modifier usage rules.

Anesthesia is medically necessary for thoracotomy procedures to ensure patient safety and comfort during often complex and invasive surgical procedures.The necessity is established by the need for the surgical procedure itself, which would typically be documented in the patient's chart.

The anesthesiologist or qualified anesthesia provider is responsible for pre-operative evaluation, induction and maintenance of anesthesia, monitoring the patient's vital signs and administering medications, managing any complications that may arise, and overseeing the patient's transfer to post-anesthesia care.

IMPORTANT:Depending on the specific procedures performed and the complexity of the case, other anesthesia codes might be more appropriate.Consideration should be given to modifiers to account for the specific circumstances of the anesthesia services provided.

In simple words: This code covers the doctor's services in giving and monitoring anesthesia during a chest surgery that may involve the lungs.It includes care before, during, and after the surgery.

This CPT code encompasses anesthesia services rendered during thoracotomy procedures involving the lungs, pleura, diaphragm, and mediastinum.The procedures may include surgical thoracoscopy and decortication (removal of thickened lung lining).Anesthesia services include pre-operative evaluation, induction, monitoring during the procedure (including medication administration and vital signs monitoring), and post-operative care oversight until transfer to post-anesthesia care.Unusual monitoring (e.g., Swan-Ganz catheters) is separately coded.

Example 1: A 65-year-old male patient undergoes a thoracotomy with decortication for treatment of empyema. The anesthesiologist provides general anesthesia, including pre-operative evaluation, induction, intraoperative monitoring, and post-operative care., A 40-year-old female patient requires a video-assisted thoracoscopic surgery (VATS) lobectomy for lung cancer. The anesthesiologist provides general anesthesia with one-lung ventilation (OLV) and careful monitoring during the procedure., A 72-year-old patient with severe chronic obstructive pulmonary disease (COPD) undergoes a thoracotomy for lung volume reduction surgery. The anesthesiologist provides general anesthesia with close attention to respiratory management and potential complications.

Complete anesthesia record including pre-operative assessment, type of anesthesia administered, medications used, vital signs during the procedure, any complications encountered, and post-operative care given.Documentation of the surgical procedure should also be included.

** Accurate coding of this procedure requires careful review of the operative report to ensure the specific procedures performed and complexity of the case are correctly reflected.Consideration must be given to payer specific rules and local coverage determinations.

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