Robert J Posted Tue 05th of August, 2014 18:29:40 PM
When lidocaine is administered as the anesthetic for a vasectomy or a Verapamil injection procedure can we bill CPT 00920 and/or J2001 ? What specific type of anesthesia does billing CPT 00920 represent?
SuperCoder Answered Tue 05th of August, 2014 20:55:35 PM
The services represented by anesthesia codes 00100–01999 include a pre– and post–operative visit to assess the patient, anesthesia care during the procedure, the administration of fluids and/or blood as necessary, and standard monitoring services such as ECG, temperature, blood pressure, oximetry, capnography, and mass spectrometry. Standard anesthesia services do not include unusual forms of monitoring such as the use of Swan–Ganz catheters, intra–arterial lines, or central venous lines, and you therefore may code those separately when sufficient supporting documentation is available.
J2001 is only for intravenous infusion of lidocaine. There are no available topical Lidocaine CPT or HCPCS codes. You should never use J2001 for the administration of topical anesthesia.
If you are using the Lidocaine or Verapamil are being used as a local anesthesia you cannot bill for this. Local or topical anesthesia is bundled and included in all CPT's surgical packages and is not a billable service for Medicare or most private carriers.
Hope this helps.