2025 CPT code 00625
(Active) Effective Date: N/A Revision Date: N/A Anesthesia - Spine and Spinal Cord Anesthesia Feed
Anesthesia services for procedures on the thoracic spine and cord using an anterior transthoracic approach, without one-lung ventilation.
Modifiers may apply depending on the specific circumstances.Consult the AMA CPT manual and payer-specific guidelines for applicable modifiers.
The medical necessity for this procedure would be determined by the underlying pathology requiring surgical intervention.This could include spinal cord compression from tumors or trauma, degenerative disc disease, or other conditions necessitating an anterior transthoracic approach.
The anesthesiologist or CRNA is responsible for pre-operative assessment, induction and maintenance of anesthesia, monitoring vital signs and administering medications, and post-operative care oversight.
In simple words: This code covers the doctor's work giving and monitoring anesthesia for surgery on the middle part of the spine (thoracic spine) and spinal cord from the front of the chest. It doesn't include surgeries that need special breathing support (one-lung ventilation).
This CPT code encompasses anesthesia services rendered during surgical or other procedures on the thoracic spine and spinal cord, accessed via an anterior transthoracic approach.The service excludes procedures requiring one-lung ventilation.The anesthesia provider's responsibilities include pre-operative evaluation, induction and monitoring of anesthesia, administration of medication and fluids as needed, standard monitoring (ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry), and post-operative care oversight and transfer to post-anesthesia care.Unusual monitoring (Swan-Ganz catheters, intra-arterial lines, or central venous lines) are billed separately.
Example 1: A patient undergoes an anterior transthoracic approach for spinal fusion at the T6-T7 level. The anesthesiologist administers general anesthesia and monitors the patient throughout the procedure., A patient requires an anterior transthoracic discectomy at the T4-T5 level.The anesthesiologist utilizes general anesthesia, monitors vital signs, and manages pain control during the surgery., A patient with a thoracic spinal cord tumor undergoes a resection via an anterior transthoracic approach. The anesthesiologist carefully monitors respiratory function and manages any potential complications associated with the procedure.This scenario does not involve the use of one-lung ventilation.
* Pre-operative evaluation notes* Anesthesia record detailing medications administered, monitoring parameters (ECG, blood pressure, oxygen saturation, end-tidal CO2, etc.), and any complications or interventions.* Intraoperative notes documenting the surgical procedure.* Post-operative notes including patient condition on transfer to PACU.
** Always refer to the most current CPT manual and payer-specific guidelines for accurate coding and billing.
- Revenue Code: P0 (Anesthesia)
- Payment Status: Active
- Specialties:* Anesthesiology* Neurosurgery* Thoracic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Office-based Surgery Center