Anesthesia Coding Alert
Use This as Anesthesia Code for 43752
Question: I bill for a children’s hospital and a small child was brought to the OR and anesthetized to place the nasogastric tube. What is the most appropriate anesthesia code to crosswalk from CPT® 43752? Pennsylvania Subscriber Answer: Surgical code 43752 (Naso- or oro-gastric tube placement, requiring physician’s skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report)) does not cross to an anesthesia code. Per the Anesthesia Crosswalk, anesthesia is typically not required during this procedure. Because of this, in most circumstances you would need to submit 01999 (Unlisted anesthesia procedure(s)) with documentation supporting medical necessity for anesthesia. Special circumstance: Since this procedure was performed on a small child, however, medical necessity is understood and you may report the most applicable anatomic code. A naso-gastric tube is inserted through the nose into the stomach and code 00160 (Anesthesia for procedures on nose and accessory sinuses; not otherwise specified) describes this procedure. If an orogastric tube was used, the procedure would be considered intraoral.
Anesthesia Coding Alert
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