Anesthesia Coding Alert
Note the Age for Pediatric Patient When Achieving Hypothermia
Question: How do we code when we have to use a pump oxygenator to achieve hypothermia for a pediatric patient?
Georgia Subscriber
Answer: If the patient is less than one year of age, you should report 00561 (Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, younger than 1 year of age). For patients beyond one year in the same situation, submit 00562 (Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, age 1 year or older, for all non-coronary bypass procedures [e.g., valve procedures] or for re-operation for coronary bypass more than 1 month after original operation).
Remember: Hypothermia is bundled with CABG (coronary artery bypass graft) codes 00561-00566. Because of this, you should not include 99116 (Anesthesia complicated by utilization of total body hypothermia [List separately in addition to code for primary anesthesia procedure]) on your claim.
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