2025 CPT code 01852
(Active) Effective Date: N/A Revision Date: N/A Anesthesia - Anesthesia for Procedures on the Forearm, Wrist, and Hand Anesthesia Feed
Anesthesia for procedures on veins of the forearm, wrist, and hand; phleborrhaphy.
Modifiers may be applicable depending on the circumstances of the anesthesia service.For example, modifiers may be used to indicate the type of provider administering the anesthesia (anesthesiologist, CRNA), the level of medical direction, or the use of monitored anesthesia care (MAC).
Medical necessity for anesthesia is established when the procedure requires the patient to be rendered unconscious or pain-free to ensure their safety and the successful completion of the surgical intervention. Documentation must support the need for general anesthesia, especially in cases of significant risk or potential for patient discomfort.
The anesthesiologist or CRNA is responsible for the pre-operative evaluation, induction and maintenance of anesthesia,monitoring the patient's vital signs, administering medications and fluids, and post-operative care until the patient is stable for transfer.
In simple words: This code covers the doctor's services to keep a patient asleep and pain-free during surgery to repair veins in their forearm, wrist, or hand. It includes checking the patient beforehand, giving medicine to keep them asleep, monitoring them during the procedure, and helping them after the surgery.
This CPT code encompasses anesthesia services provided during a phleborrhaphy (vein repair) procedure involving veins in the forearm, wrist, or hand.The anesthesia provider's responsibilities include pre-operative evaluation, induction and monitoring of anesthesia during the surgical procedure,administration of fluids and medications as needed, standard monitoring (ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry), and overseeing the patient's transfer to post-anesthesia care.The code does not include unusual monitoring such as Swan-Ganz catheters, intra-arterial lines, or central venous lines, which should be coded separately if used.
Example 1: A 45-year-old male patient presents with a lacerated vein in his wrist due to a workplace accident. He undergoes phleborrhaphy under general anesthesia. Code 01852 is used to bill for the anesthesia services., A 28-year-old female patient requires phleborrhaphy of multiple veins in her forearm after a motorcycle accident.The procedure is performed under general anesthesia with the use of a peripheral nerve stimulator. Code 01852 is billed for the anesthesia, and additional codes may be necessary to capture the use of the nerve stimulator., A 62-year-old patient undergoes a complex hand surgery, including phleborrhaphy, to repair a severed vein. The procedure is prolonged and requires extensive monitoring. Code 01852 is used to bill for anesthesia services, and additional modifiers may be applied to reflect the complexity of the procedure.Other anesthesia codes may also be necessary depending on the complexity of the entire surgical procedure.
Complete documentation is needed.This includes a pre-operative evaluation documenting the patient's medical history, physical examination findings, and assessment of risk factors for anesthesia. Intra-operative documentation should include the type and amount of anesthetic agents administered, monitoring parameters (ECG, BP, SpO2, EtCO2), any complications or adverse events, and the duration of anesthesia. Post-operative documentation should include the patient's condition at the time of transfer to post-anesthesia care.
** Always refer to the most current CPT codebook and payer-specific guidelines for accurate coding and billing practices.This information is intended for educational purposes and does not substitute for professional medical coding advice.
- RVU: The relative value units (RVUs) for this code will vary depending on the payer and their specific fee schedule.Consult your payer's fee schedule or the AMA's CPT codebook for the most up-to-date RVU values.
- Global Days : The global period for this anesthesia service is not explicitly defined within the code itself. The global period is usually determined by the payer and may vary based on the specifics of the procedure and the payer's policy.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier does not apply to this anesthesia code, as it represents the professional component of anesthesia services.
- Fee Schedule : Historical fee schedules for this code can vary significantly based on the payer, geographic location, and year. This information is usually found in the specific payer's contract or fee schedule and should be accessed as needed.
- Specialties:Anesthesiology, Surgery (various subspecialties depending on the specific surgical procedure)
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center