2025 CPT code 00563
(Active) Effective Date: N/A Anesthesia - Anesthesia for Intrathoracic Procedures Anesthesia Feed
Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator with hypothermic circulatory arrest.
Modifiers are applicable. See the long description for more details.
Medical necessity for this code is established by the underlying surgical procedure requiring the use of a pump oxygenator and hypothermic circulatory arrest.
The anesthesiologist performs a pre-operative evaluation, induces anesthesia, monitors vital signs throughout the surgery, manages fluids/blood, and oversees post-operative care.This includes specialized monitoring during the use of the pump oxygenator and hypothermic circulatory arrest.Documentation should include all medications, monitoring techniques, patient responses, and anesthesia times.
In simple words: The anesthesiologist provides specialized care for patients undergoing open-heart surgery and other major chest surgeries requiring a heart-lung machine and cooling the body to temporarily stop blood flow.
This code represents anesthesia services for complex intrathoracic procedures involving the heart, pericardium, and great vessels, utilizing a pump oxygenator and hypothermic circulatory arrest. The procedures typically include surgeries on the heart, pericardial sac (the sac surrounding the heart), and the great vessels of the chest like the aorta, its major branches, and the pulmonary vessels. The use of a pump oxygenator (heart-lung machine) and hypothermic circulatory arrest (cooling the body to stop blood circulation) indicates the complexity and high risk associated with these procedures.
Example 1: A patient undergoing aortic valve replacement with the use of a heart-lung machine and hypothermic circulatory arrest., Repair of a congenital heart defect in a neonate requiring a pump oxygenator and circulatory arrest., Surgery on the pulmonary artery requiring a heart-lung machine and hypothermia.
Complete anesthesia record including pre-operative evaluation, patient history, medications used, monitoring methods, vital signs, intraoperative events, and post-operative status. Documentation of time spent providing anesthesia service is also crucial.
** Anesthesia time is calculated from when the anesthesiologist begins preparing the patient in the operating room until the responsibility for post-operative care is transferred to another provider. Qualifying circumstances codes (e.g., 99100, 99116) may be applicable in complex cases.
- Revenue Code: P0 (Anesthesia)
- Payment Status: Active
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center