2025 CPT code 00914

Anesthesia for transurethral resection of the prostate.

Adhere to the current CPT coding guidelines and anesthesia-specific guidelines.Modifiers may be required depending on circumstances.

Modifiers such as those indicating the type of anesthesia (e.g., MAC with G8, G9, QS) or provider type (e.g., AA, AD, QX, QY, QZ) are often applicable.Consult current payer requirements.

Medical necessity for TURP is established by the presence of significant BPH symptoms, such as urinary retention, frequency, urgency, nocturia, and decreased urinary stream.The procedure is justified to improve the patient's quality of life and address urinary obstruction.Proper documentation is required to support medical necessity.

The anesthesiologist or certified registered nurse anesthetist (CRNA) is responsible for the patient's safety and well-being during the anesthesia process.This includes pre-operative assessment, induction and maintenance of anesthesia, monitoring vital signs, administering medications, and post-operative care.

IMPORTANT Consider other anesthesia codes (00100-01999) based on the complexity of the procedure and the patient's condition.Modifiers may be necessary to specify the type of anesthesia provided (e.g., MAC) or the provider type (e.g., CRNA).

In simple words: The doctor gives anesthesia (medicine to make you sleep) for a surgery to remove part of the prostate gland through the urethra (the tube that carries urine out of the body). This includes checking the patient before surgery, giving the anesthesia, watching the patient during the surgery, and making sure the patient is okay after the surgery.

This CPT code encompasses anesthesia services provided during a transurethral resection of the prostate (TURP).The anesthesia provider conducts a preoperative evaluation, induces and monitors the patient throughout the procedure, administers necessary medications and fluids, performs standard monitoring (ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry), and oversees the patient's transfer to post-anesthesia care.Unusual monitoring (Swan-Ganz catheters, intra-arterial lines, or central venous lines) is coded separately if documented.

Example 1: A 70-year-old male patient presents for a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH). The anesthesiologist performs a pre-operative evaluation, administers general anesthesia, and monitors the patient throughout the procedure. Post-operative care includes monitoring vital signs and managing pain., A 65-year-old male patient with a history of hypertension undergoes a TURP.The CRNA, under the supervision of an anesthesiologist, provides monitored anesthesia care (MAC) for the procedure.The patient is awake but sedated and comfortable., A 75-year-old male patient with significant cardiac history undergoes TURP.The anesthesiologist uses a combination of regional and general anesthesia techniques. Careful hemodynamic monitoring and management are vital due to the patient's pre-existing conditions.Specific documentation of medications, monitoring, and interventions is needed.

Preoperative evaluation notes, anesthesia record documenting all medications administered, monitoring parameters (including times), vital signs, patient response to anesthesia, start and stop times of anesthesia, and post-anesthesia care details.Documentation must support the medical necessity of the procedure and the type and level of anesthesia provided.

** The complexity of the TURP procedure can influence the selection of anesthesia technique and the selection of anesthesia codes.Thorough documentation is essential for accurate billing and reimbursement. Always refer to the latest CPT manual and payer-specific guidelines.

  • Revenue Code: P0 (Anesthesia)
  • RVU: RVUs vary based on payer, geographic location, and complexity.Consult the appropriate fee schedule for specific values.
  • Global Days : The global period for anesthesia is typically considered to be the day of service.There is no specific global surgical period attached to this code.
  • Payment Status: Active
  • Modifier TC rule: A technical component (TC) modifier is not applicable to anesthesia codes.
  • Fee Schedule : Historical fee schedules vary by payer and location.Review historical fee schedules for the relevant period.
  • Specialties:Urology, Anesthesiology
  • Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Outpatient Hospital
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