00100 CPT code: Description, usage, modifiers, and reimbursement rate

CPT code 00100 is a specific medical code used to report the administration of anesthesia during various procedures performed on the head. The provider administers anesthesia services during the procedure to perform a biopsy on the salivary glands to ensure the patient’s comfort and safety.

It is a general code, and the specific anesthesia services will vary depending on the procedure. However, all anesthesia services provided under the CPT 00100 code must include the following:

  • Preoperative evaluation and assessment of the patient
  • Administration of anesthesia medications
  • Monitoring of the patient’s vital signs and other physiological parameters during the procedure
  • Postoperative pain management and care

Different types of anesthesia that can be provided under CPT code 00100?

It includes:

  • General anesthesia induces deep unconsciousness and eliminates pain and movement during complex procedures.
  • Regional anesthesia numbs a specific body area and is typically used for less complicated and less invasive procedures.
  • Local anesthesia numbs a small area for minor procedures like biopsies and injections.

How to Use the 00100 CPT Code

When administering anesthesia during a surgical procedure, it is crucial to document the process using the appropriate CPT code 00100 accurately. The correct modifiers must accompany this code on the claim form to indicate the specific details of the anesthesia administration. Failure to document this information correctly can lead to incorrect billing and potential legal issues. Therefore, it is essential to ensure that all necessary information is accurately recorded to avoid complications and ensure a smooth process for all parties involved.

00100 Modifiers

Modifiers are additional codes that provide more information about the anesthesia services rendered. Here are some common modifiers used with the 00100 CPT code:

  • Modifier 59 indicates a distinct procedural service performed during the same encounter.
  • Modifier 50 – Used to indicate a bilateral procedure where both sides of the face, neck, or head are treated.
  • Modifier 51 – Used to indicate multiple procedures performed during the same session.

CPT code 00100 reimbursement

The reimbursement for CPT code 00100 varies based on the insurance plan, geographic location, and procedure complexity. The average reimbursement is around $1,500.

Similar Posts


Leave a Reply

Your email address will not be published. Required fields are marked *