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Official Description

Anesthesia for lithotripsy, extracorporeal shock wave; with water bath

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Short Descr ANESTH KIDNEY STONE DESTRUCT
Medium Descr ANES LITHOTRP XTRCORP SHOCK WAVE W/WATER BATH
Long Descr Anesthesia for lithotripsy, extracorporeal shock wave; with water bath
Status Code Anesthesia Service
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 9 - Not Applicable
Multiple Procedures (51) 9 - Concept does not apply.
Bilateral Surgery (50) 9 - Concept does not apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 9 - Concept does not apply.
Co-Surgeons (62) 9 - Concept does not apply.
Team Surgery (66) 9 - Concept does not apply.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Items and Services Packaged into APC Rates
Type of Service (TOS) 7 - Anesthesia
Berenson-Eggers TOS (BETOS) P0 - Anesthesia
MUE Not applicable/unspecified.
CCS Clinical Classification 230 - Extracorporeal shock wave, other than urinary

This is a primary code that can be used with these additional add-on codes.

0887T New Code for 2024 Add On Code MPFS Status: Carrier Priced APC N ASC N1 End-tidal control of inhaled anesthetic agents and oxygen to assist anesthesia care delivery (List separately in addition to code for primary procedure)
QS Monitored anesthesia care service
AA Anesthesia services performed personally by anesthesiologist
QX Crna service: with medical direction by a physician
QZ Crna service: without medical direction by a physician
QK Medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals
P3 A patient with severe systemic disease
X4 Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period
74 Discontinued out-patient hospital/ambulatory surgery center (asc) procedure after administration of anesthesia: due to extenuating circumstances or those that threaten the well being of the patient, the physician may terminate a surgical or diagnostic procedure after the administration of anesthesia (local, regional block(s), general) or after the procedure was started (incision made, intubation started, scope inserted, etc). under these circumstances, the procedure started but terminated can be reported by its usual procedure number and the addition of modifier 74. note: the elective cancellation of a service prior to the administration of anesthesia and/or surgical preparation of the patient should not be reported. for physician reporting of a discontinued procedure, see modifier 53.
AD Medical supervision by a physician: more than four concurrent anesthesia procedures
GC This service has been performed in part by a resident under the direction of a teaching physician
GW Service not related to the hospice patient's terminal condition
LT Left side (used to identify procedures performed on the left side of the body)
P1 A normal healthy patient
P2 A patient with mild systemic disease
P4 A patient with severe systemic disease that is a constant threat to life
QY Medical direction of one certified registered nurse anesthetist (crna) by an anesthesiologist
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Pre-1990 Added Code added.
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