Manipulation Under Anesthesia Doesn’t Require Fixation

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  • July 25, 2016
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Manipulation Under Anesthesia Doesn’t Require Fixation

Question: May we report CPT® 23700 Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) if no fixation device is used? Does “under anesthesia” mean general anesthesia?
Answer: Yes, and Yes. Per CPT Assistant:

Anesthesia and Pain Management CANPC

May 2009; Volume 19: Issue 5

Question: Is it appropriate to report CPT code 23700 for manipulation of the shoulder joint under anesthesia if a fixation apparatus is not utilized?
Answer: Yes. Utilization of a fixation apparatus is not required in order to report CPT code 23700.

April 2005; Volume 15: Issue 4

Question: Is it appropriate to report CPT code 23700, Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded), when general anesthesia is not used?
AMA Comment: CPT code 23700 is intended to be reported for the manipulation only when performed under general anesthesia. The code descriptors, which include the phrase “requiring anesthesia” or “under anesthesia,” indicate that the work involved in that specific procedure requires the use of general anesthesia; therefore, it would not be appropriate to report code 23700 if general anesthesia is not provided.

John Verhovshek
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About Has 601 Posts

John Verhovshek, MA, CPC, is a contributing editor at AAPC. He has been covering medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University.

No Responses to “Manipulation Under Anesthesia Doesn’t Require Fixation”

  1. Vicente Velasco Jr. says:

    Just a follow up to question number 2.
    Is it necessary to bill for Anesthesia code whenever a CPT/procedures indicates “requiring anesthesia” or “under anesthesia”?
    Thank you!