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00404 Anesthesia integ sys radiation/modf brst

Anesthesia

Also known as: mastectomy anesthesia, radical mastectomy anesthesia

Anesthesia for procedures on the integumentary system involving radical or modified radical mastectomy. Covers general anesthesia for surgical removal of the breast including underlying tissue, typically for breast cancer treatment.

In Plain Language

anesthesia for breast removal surgery; being put to sleep for breast cancer surgery

Clinical Context

Used when providing anesthesia for radical or modified radical mastectomy performed for breast cancer. Not for simple mastectomy. Requires consideration of axillary lymph node dissection, potential for significant blood loss, and positioning challenges.

RVU Information

CPT 00404 does not have a physician work RVU assigned by CMS. Anesthesia codes use a base unit + time unit system rather than standard RVUs. Contact your payer for the anesthesia conversion factor.

Billing & Documentation

Anesthesia codes are billed using base units plus time units. One time unit typically equals 15 minutes of anesthesia time. Document start and stop times, patient status (P1-P6), and any qualifying circumstances. Modifiers AA, QK, QX, or QY indicate the provider arrangement.

Specialties

anesthesiologysurgical oncologygeneral surgery

Frequently Asked Questions

What is CPT code 00404?

CPT 00404 (Anesthesia integ sys radiation/modf brst) is a Anesthesia code. Anesthesia for procedures on the integumentary system involving radical or modified radical mastectomy. Covers general anesthesia for surgical removal of the breast including underlying tissue, typically for breast cancer treatment.

How is anesthesia code 00404 billed?

Anesthesia code 00404 is billed using base units plus time units (1 unit = 15 minutes). Used when providing anesthesia for radical or modified radical mastectomy performed for breast cancer. Not for simple mastectomy. Requires consideration of axillary lymph node dissection, potential for significant blood loss, and positioning challenges. Used by anesthesiology, surgical oncology, general surgery.

When is CPT 00404 used?

Used when providing anesthesia for radical or modified radical mastectomy performed for breast cancer. Not for simple mastectomy. Requires consideration of axillary lymph node dissection, potential for significant blood loss, and positioning challenges.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.