CPT code 00864: Cystectomy anesthesia billing guide
CPT code 00864 is the anesthesia code for extraperitoneal procedures in the lower abdomen, including the urinary tract and total cystectomy (bladder removal). It carries 8 base units under the ASA Relative Value Guide, one of the higher values in the 00800–00882 family. That is why the base unit count is often the first thing […]
CPT code 10004: Add-on code for each additional FNA lesion
CPT 10004 is the add-on code for each additional FNA lesion without imaging – always billed with primary code 10021, never alone.
CPT Code 01961: Anesthesia for cesarean delivery billing guide
CPT Code 01961 is the procedure code for anesthesia for cesarean delivery only. Per the AMA’s CPT code set, this code falls within the Anesthesia for Obstetric Procedures section (range 01958 through 01969). It is used when an anesthesiologist or CRNA provides anesthesia services exclusively for a cesarean delivery, and critically, when no prior neuraxial […]
ICD-10 code for POTS (G90.A): Documentation and billing guide
The ICD-10 code for POTS is G90.A. Learn when to assign it, the documentation payers require, and the CPT codes it pairs with.
CPT code 00862: Anesthesia for extraperitoneal procedures
CPT code 00862 covers anesthesia for extraperitoneal procedures in the lower abdomen: nephrectomy, donor kidney removal, and repairs to the upper third of the ureter. The surgeon has to stay outside the peritoneal cavity for this code to apply. Mix up that detail on the operative report, and the claim lands on the wrong code. […]
CPT code 00670: Base units, modifiers, and billing guide
A four-hour spine reconstruction can still lose its full reimbursement over one wrong digit or a missing modifier. That is the everyday risk with CPT code 00670. It is the anesthesia code for the most extensive spine and spinal cord procedures. The money is real, but so is the denial rate. The code only applies […]
CPT code 00820: Posterior abdominal wall anesthesia guide
CPT code 00820 covers anesthesia for procedures on the lower posterior abdominal wall, the back half of that wall. Think of a biopsy or excision of a mass, a muscle flap procedure, or a deep injection in that region. The code carries 5 ASA base units. Billers often assume 00820 is just a bigger, more […]
CPT Code 97597: Active wound care management billing guide
CPT Code 97597 is the billing code for active wound care management: selective debridement of a wound 20 sq cm or less, performed without anesthesia. The Centers for Medicare & Medicaid Services (CMS) requires wound dimensions, tissue type removed, and a clear medical necessity statement for every encounter billed under this code, and a single […]
CPT Code 88300: Level I surgical pathology, gross examination only
Most pathology billing denials don’t come from complex cases. They come from Level I specimens coded incorrectly or missing a single line of documentation. CPT Code 88300 is the lowest-complexity surgical pathology code in the AMA’s CPT code set, yet it accounts for a disproportionate share of coding errors in labs and outpatient settings. Understanding […]
CPT Code 01951: Burn excision anesthesia billing guide [year]
CPT Code 01951 covers anesthesia services for second- and third-degree burn excision or debridement procedures involving less than 4.0% of total body surface area (TBSA). The code sits within the anesthesia section of the AMA’s CPT code set (range 00100-01999) and is maintained by the American Medical Association. The clinical scenario is specific: the patient […]