CPT Codes For Spinal Anesthesia | Base Units, Descriptions & Billing Guide
Anesthesia for spine and spinal cord procedures can be billed with CPT00600, CPT00604, CPT00620, CPT00625, CPT00626, CPT00630, CPT00632, CPT00635, CPT00640, and CPT00670. Below are the descriptions, base units, and billing guidelines for spinal anesthesia procedures.
Click on a link to go to that section of the article.
1. CPT00600
CPT code00600 is described by the CPT manual as: “Anesthesia for procedures on cervical spine and cord; not otherwise specified.”
1.1 Procedure
The goal of the00600 CPT code is to administer anesthesia for procedures on the cervical spine and cord not defined by another general anesthesia code.
The anesthesia provider performs a pre-operative evaluation of the patient before the procedure on the cervical spine and cord.
Then, the anesthesia provider induces the patient and monitors the patient during the00600 procedure. The cervical spine and spinal cord procedure, which is in the neck area, is performed by another health provider.
The anesthesia provider oversees the patient’s transfer to post-anesthesia care after the procedure.
1.2 Billing Guidelines
The American Society of Anesthesiologists (ASA) assigned ten base units to CPT00600.
Report CPT 01937, CPT 01938, CPT 01939, CPT 01940, CPT 01941, or CPT 01942 instead of CPT 00600 for percutaneous image-guided spine and spinal cord procedures with anesthesia.
2. CPT 00604
CPT code 00604 is described by the CPT manual as: “Anesthesia for procedures on cervical spine and cord; procedures with the patient in a sitting position.”
2.1 Procedure
The 00604 CPT code procedure aims to provide an anesthesia service for a patient in a sitting position who is undergoing a procedure on the cervical spine and cord.
The anesthesia provider performs a pre-operative evaluation of the sitting patient before the cervical spine and cord procedure.
Then, the anesthesia provider induces the patient (who is sitting) and monitors him or her during the spine and cord procedure.
The anesthesia provider oversees the patient’s transfer to post-anesthesia care after the 00604 procedure.
2.2 Billing Guidelines
The American Society of Anesthesiologists (ASA) assigned thirteen base units to this code.
CPT 00604 is an inpatient-only procedure code.
3. CPT00620
CPT code00620 is described by the CPT manual as: “Anesthesia for procedures on thoracic spine and cord, not otherwise specified.”
3.1 Procedure
The 00620 CPT code procedure aims to perform an anesthesia service for a patient undergoing a thoracic spine and cord procedure not described in another general anesthesia code.
The anesthesia provider performs a pre-operative evaluation of the patient before the thoracic spine and cord procedure.
Then, the anesthesia provider induces the patient and monitors the patient during the procedure performed by another provider. This procedure is on the thoracic spine and spinal cord, in the thorax area between the cervical and lumbar spine.
After the 00620 procedure, the anesthesia provider oversees the patient’s transfer to post-anesthesia care.
3.2 Billing Guidelines
The American Society of Anesthesiologists (ASA) assigned ten base units to CPT 00620.
4. CPT00625
CPT code00625 is described by the CPT manual as: “Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; not utilizing one lung ventilation.”
4.1 Procedure
The 00625 CPT code procedure aims to perform an anesthesia service for a patient thoracic spine and cord procedures via an anterior transthoracic approach without utilizing one-lung ventilation.
The anesthesia provider performs a pre-operative evaluation of the patient before the thoracic spine and cord procedures via an anterior transthoracic approach without utilizing one-lung ventilation.
Then, the anesthesia provider induces the patient and monitors the patient during this procedure performed by another health provider.
After that, the patient’s transfer to post–anesthesia care is overseen by the anesthesia provider.
4.2 Billing Guidelines
The American Society of Anesthesiologists (ASA) assigned thirteen base units to CPT 00625.
Report CPT 00626 instead of this procedure if it is performed with one lung ventilation.”
5. CPT00626
CPT code00626 is described by the CPT manual as: “Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; utilizing one lung ventilation.”
5.1 Procedure
The 00626 CPT code procedure aims to perform an anesthesia service for a patient thoracic spine and cord procedures via an anterior transthoracic approach with utilizing one-lung ventilation.
The anesthesia provider performs a pre-operative evaluation of the patient before the thoracic spine and cord procedures via an anterior transthoracic approach with utilizing one-lung ventilation.
Then, the anesthesia provider induces the patient and monitors the patient during the 00626 procedure. This is performed by another health provider.
After the procedure, the anesthesia provider oversees the patient’s transfer to post-anesthesia care.
5.2 Billing Guidelines
The American Society of Anesthesiologists (ASA) assigned fifteen base units to CPT 00626.
Report CPT 00625 instead of this procedure if it is performed without one lung ventilation.
Report CPT 00540 or CPT 00541 for anesthesia for thoracotomy procedures other than spinal.
6. CPT 00630
CPT code 00630 is described by the CPT manual as: “Anesthesia for procedures in lumbar region; not otherwise specified.”
6.1 Procedure
The goal of the 00630 CPT code procedure is to perform an anesthesia service for a patient undergoing a lumber region procedure in lumbar region that this not specified by another general anesthesia CPT code.
The anesthesia provider performs a pre-operative evaluation of the patient before the procedure on the lumbar region. During this procedure, which is performed by another health provider, the anesthesia provider induces and monitors the patient.
The patient’s transfer to post–anesthesia care is overseen by the same anesthesia provider.
6.2 Billing Guidelines
The American Society of Anesthesiologists (ASA) assigned eight base units to CPT 00630.
7. CPT00632
CPT code00632 is described by the CPT manual as: “Anesthesia for procedures in lumbar region; lumbar sympathectomy.”
7.1 Procedure
The 00632 CPT code procedure aims to perform anesthesia services for a lumbar region procedure in the lumbar region. Lumbar sympathectomy is included in the procedure.
Before the patient undergoes the lumbar region with lumbar sympathectomy, the anesthesia provider performs a pre-operative evaluation.
After the procedure, the anesthesia provider oversees the patient’s transfer to post-anesthesia care.
7.2 Billing Guidelines
The American Society of Anesthesiologists (ASA) assigned seven base units to this procedure.
CPT 00632 is an inpatient-only procedure code.
8. CPT00635
CPT code00635 is described by the CPT manual as: “Anesthesia for procedures in lumbar region; diagnostic or therapeutic lumbar puncture.”
8.1 Procedure
The 00635 CPT code procedure aims to perform anesthesia services for patients undergoing a procedure in the lumbar region. This procedure includes therapeutic or diagnostic lumbar puncture.
The provider performs anesthesia services for a patient undergoing a procedure in the lumbar region, including a diagnostic or therapeutic lumbar puncture.
Before the procedure in the lumbar region that includes a diagnostic or therapeutic lumbar puncture, the anesthesia provider performs a pre-operative evaluation of the patient.
Then, the anesthesia provider induces and monitors the patient while another health provider performs the procedure.
Following this procedure, the anesthesia provider oversees the patient’s transfer to post-anesthesia care.
8.2 Billing Guidelines
The American Society of Anesthesiologists (ASA) assigned four base units to CPT 00635.
9. CPT00640
CPT code00640 is described by the CPT manual as: “Anesthesia for manipulation of the spine or closed procedures on the cervical, thoracic or lumbar spine.”
9.1 Procedure
The 00640 CPT code procedure aims to perform anesthesia services for a patient undergoing manipulation of the spine, a closed procedure on the thoracic, cervical, or lumbar spine.
First, the anesthesia provider performs a pre-operative evaluation. Then, the patient is induced and monitored during the 00640 procedure.
After the closed procedure on the thoracic, cervical, or lumbar spine, the anesthesia provider oversees the patient’s transfer to post-anesthesia care.
9.2 Billing Guidelines
The American Society of Anesthesiologists (ASA) assigned three base units to CPT00640.
10. CPT00670
CPT code00670 is described by the CPT manual as: “Anesthesia for extensive spine and spinal cord procedures (for example, spinal instrumentation or vascular procedures).”
10.1 Procedure
The 00670 CPT code procedure aims to perform anesthesia services for someone undergoing a spinal cord and spine procedure that includes spinal instrumentation.
Examples of this procedure are implanting screws and plates into the spine for stabilization or vascular procedures on a patient’s blood vessels.
10.2 Billing Guidelines
The American Society of Anesthesiologists (ASA) assigned thirteen base units to CPT 00670.
Go back to the complete list with the CPT Codes for general anesthesia.
