cpt 00104, cpt code 00104, 00104 cpt code
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CPT 00104 | Anesthesia For Electroconvulsive Therapy

CPT code 00104 can be reported when an anesthesia provider performs an anesthesia service on a patient during electroconvulsive therapy.

Description

The official description of the 00104 CPT code is: “Anesthesia for electroconvulsive therapy.”

The American Society of Anesthesiologists (ASA) assigned four base units to CPT 00104.

CPT 00104 may be denied when multiple electroconvulsive therapies (ECT) are provided. ECT (CPT code 90871) is a noncovered service by Medicare. Therefore, when anesthesia is performed, for this reason, it will be denied as such.

Procedure

An anesthesia provider performs a pre-operative evaluation of the patient. Then, the anesthesia provider induces the patient and monitors the patient during electroconvulsive therapy that a different provider performs.

The anesthesia provider notes any types and amounts of medications administered, all forms of monitoring used, patient responses, and the start and stops times of anesthesia care.

Following the electroconvulsive therapy procedure, the anesthesia provider oversees the patient’s transfer to post-anesthesia care.

Historical Information

Change TypeChange DatePrevious Descriptor
Code Added01-01-1990

ICD-10-CM For CPT 00104

F01.51Vascular dementia with behavioral disturbance
F02.80Dementia in other diseases classified elsewhere without behavioral disturbance
F02.81Dementia in other diseases classified elsewhere with behavioral disturbance
F03.90Unspecified dementia without behavioral disturbance
F05Delirium due to known physiological condition
F06.30Mood disorder due to known physiological condition, unspecified
F06.31Mood disorder due to known physiological condition with depressive features
F06.32Mood disorder due to known physiological condition with major depressive-like episode
F06.33Mood disorder due to known physiological condition with manic features
F06.34Mood disorder due to known physiological condition with mixed features
F20.0Paranoid schizophrenia
F20.2Catatonic schizophrenia
F20.3Undifferentiated schizophrenia
F20.81Schizophreniform disorder
F20.89Other schizophrenia
F20.9Schizophrenia, unspecified
F23Brief psychotic disorder
F25.0Schizoaffective disorder, bipolar type
F25.1Schizoaffective disorder, depressive type
F25.8Other schizoaffective disorders
F25.9Schizoaffective disorder, unspecified
F28Other psychotic disorder not due to a substance or known physiological condition
F29Unspecified psychosis not due to a substance or known physiological condition
F30.10Manic episode without psychotic symptoms, unspecified
F30.11Manic episode without psychotic symptoms, mild
F30.12Manic episode without psychotic symptoms, moderate
F30.13Manic episode, severe, without psychotic symptoms
F30.2Manic episode, severe with psychotic symptoms
F30.3Manic episode in partial remission
F30.4Manic episode in full remission
F30.8Other manic episodes
F30.9Manic episode, unspecified
F31.0Bipolar disorder, current episode hypomanic
F31.10Bipolar disorder, current episode manic without psychotic features, unspecified
F31.11Bipolar disorder, current episode manic without psychotic features, mild
F31.12Bipolar disorder, current episode manic without psychotic features, moderate
F31.13Bipolar disorder, current episode manic without psychotic features, severe
F31.2Bipolar disorder, current episode manic severe with psychotic features
F31.30Bipolar disorder, current episode depressed, mild or moderate severity, unspecified
F31.31Bipolar disorder, current episode depressed, mild
F31.32Bipolar disorder, current episode depressed, moderate
F31.4Bipolar disorder, current episode depressed, severe, without psychotic features
F31.5Bipolar disorder, current episode depressed, severe, with psychotic features
F31.60Bipolar disorder, current episode mixed, unspecified
F31.61Bipolar disorder, current episode mixed, mild
F31.62Bipolar disorder, current episode mixed, moderate
F31.63Bipolar disorder, current episode mixed, severe, without psychotic features
F31.64Bipolar disorder, current episode mixed, severe, with psychotic features
F31.70Bipolar disorder, currently in remission, most recent episode unspecified
F31.71Bipolar disorder, in partial remission, most recent episode hypomanic
F31.72Bipolar disorder, in full remission, most recent episode hypomanic
F31.73Bipolar disorder, in partial remission, most recent episode manic
F31.74Bipolar disorder, in full remission, most recent episode manic
F31.75Bipolar disorder, in partial remission, most recent episode depressed
F31.76Bipolar disorder, in full remission, most recent episode depressed
F31.77Bipolar disorder, in partial remission, most recent episode mixed
F31.78Bipolar disorder, in full remission, most recent episode mixed
F31.81Bipolar II disorder
F31.89Other bipolar disorder
F31.9Bipolar disorder, unspecified
F32.0Major depressive disorder, single episode, mild
F32.1Major depressive disorder, single episode, moderate
F32.2Major depressive disorder, single episode, severe without psychotic features
F32.3Major depressive disorder, single episode, severe with psychotic features
F32.4Major depressive disorder, single episode, in partial remission
F32.5Major depressive disorder, single episode, in full remission
F32.9Major depressive disorder, single episode, unspecified
F33.0Major depressive disorder, recurrent, mild
F33.1Major depressive disorder, recurrent, moderate
F33.2Major depressive disorder, recurrent severe without psychotic features
F33.3Major depressive disorder, recurrent, severe with psychotic symptoms
F33.40Major depressive disorder, recurrent, in remission, unspecified
F33.41Major depressive disorder, recurrent, in partial remission
F33.42Major depressive disorder, recurrent, in full remission
F33.8Other recurrent depressive disorders
F33.9Major depressive disorder, recurrent, unspecified
F34.1Dysthymic disorder
F34.81Disruptive mood dysregulation disorder
F34.89Other specified persistent mood disorders
F34.9Persistent mood [affective] disorder, unspecified
F39Unspecified mood [affective] disorder
F42.2Mixed obsessional thoughts and acts
F44.89Other dissociative and conversion disorders
G20Parkinson’s disease
G21.11Neuroleptic induced parkinsonism
G21.19Other drug induced secondary parkinsonism
G21.2Secondary parkinsonism due to other external agents
G21.3Postencephalitic parkinsonism
G21.4Vascular parkinsonism
G21.8Other secondary parkinsonism
G21.9Secondary parkinsonism, unspecified
G30.0Alzheimer’s disease with early onset
G30.1Alzheimer’s disease with late onset
G30.8Other Alzheimer’s disease
G30.9Alzheimer’s disease, unspecified
G31.09Other frontotemporal dementia
G31.1Senile degeneration of brain, not elsewhere classified
G47.411Narcolepsy with cataplexy
G47.421Narcolepsy in conditions classified elsewhere with cataplexy

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