2025 CPT code 01782
(Active) Effective Date: N/A Revision Date: N/A Anesthesia - Anesthesia for Procedures on the Upper Arm and Elbow Anesthesia Feed
Anesthesia services for phleborrhaphy (vein suturing) in the upper arm and elbow.
Modifiers may be appended to this code depending on the specific circumstances of the anesthesia service.For example, modifiers may be used to indicate the type of anesthesia administered, the level of medical direction provided, or any unusual circumstances.
Medical necessity for anesthesia services is typically established by the need for pain control, patient safety, and hemodynamic stability during a surgical procedure.The complexity of the procedure, patient's medical condition, and the potential risks involved determine the type and level of anesthesia care required.
The anesthesiologist or CRNA is responsible for pre-operative evaluation, induction and maintenance of anesthesia, monitoring of vital signs, administration of medications, and post-operative care until the patient is transferred to a recovery area.
In simple words: The doctor gives the patient medicine to keep them asleep and without pain during a surgery to repair veins in their upper arm or elbow. The doctor monitors the patient throughout the surgery and makes sure they are comfortable and safe.
This CPT code encompasses anesthesia services provided during a phleborrhaphy procedure on veins located in the upper arm and elbow region.The anesthesia provider's responsibilities include pre-operative patient evaluation, induction and monitoring of anesthesia during the surgical procedure performed by another provider, documentation of all medications administered, monitoring methods utilized, patient responses, and precise start and stop times of anesthesia care. Post-operatively, the anesthesia provider oversees the patient's transfer to post-anesthesia care. Standard monitoring services such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry are included; however, unusual monitoring (Swan-Ganz catheters, intra-arterial lines, or central venous lines) is separately coded if documented.
Example 1: A 55-year-old male patient presents for a phleborrhaphy of the basilic vein in his left upper arm due to a traumatic injury.The anesthesiologist administers general anesthesia, monitors the patient's vital signs throughout the procedure, and ensures a safe recovery., A 72-year-old female patient requires phleborrhaphy of multiple veins in the cubital fossa of her right elbow due to chronic venous insufficiency.Regional anesthesia is administered, and the anesthesiologist monitors the patient's sensory and motor function during the procedure., A 28-year-old athlete needs phleborrhaphy in the upper arm after a sports-related injury.The anesthesiologist chooses monitored anesthesia care (MAC), considering the patient's overall health and the procedural requirements.
* Complete pre-operative patient evaluation, including medical history, physical examination, and assessment of risk factors.* Detailed anesthesia record, including the type and amount of medications administered, monitoring parameters, patient responses, and start and stop times of anesthesia.* Documentation of any unusual monitoring techniques.* Operative report from the surgeon.* Post-operative assessment of the patient.
** Always refer to the most up-to-date CPT codebook and payer guidelines to ensure proper coding and billing practices.The use of this code requires appropriate documentation to support medical necessity and justify the level of anesthesia services provided.Accurate documentation, including anesthesia time, is critical for proper reimbursement.
- Revenue Code: P0 (ANESTHESIA)
- RVU: The RVUs for this code vary based on payer and geographic location.Consult your specific payer's fee schedule for the most current RVU values and reimbursement rates.The base units are factored into the overall RVU calculation alongside the time units for anesthesia services.
- Global Days : The global period for anesthesia services is typically included within the code and does not necessitate separate billing for post-operative follow-up visits. However, some payers may have specific rules that affect this.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier does not apply to this anesthesia code.
- Fee Schedule : Historical fee schedules vary significantly by payer and geographic location.The information can be obtained from your payer's historical fee schedules or billing databases.Consult your payer's specific payment guidelines for historical data.
- Specialties:Anesthesiology, Surgery (various subspecialties depending on the nature of the phleborrhaphy)
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center