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00561 Anesthesia procedures heart with pump<1 yr

Anesthesia

Also known as: infant cardiac bypass anesthesia, neonatal open heart anesthesia, baby heart surgery anesthesia

Anesthesia for procedures on the heart, pericardial sac, and great vessels of the chest with cardiopulmonary bypass, in patients younger than one year of age. Covers general anesthesia for open heart surgery in neonates and infants.

In Plain Language

anesthesia for baby's open heart surgery; putting a baby under for heart surgery with heart-lung machine

Clinical Context

Used when providing anesthesia for congenital heart surgery with cardiopulmonary bypass in patients under 1 year. Includes repair of tetralogy of Fallot, transposition of great arteries, AV canal defects, and other congenital heart lesions. Highest complexity anesthesia code.

RVU Information

CPT 00561 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

anesthesiologypediatric cardiac anesthesiologypediatric cardiothoracic surgery

Frequently Asked Questions

What is CPT code 00561?

CPT 00561 (Anesthesia procedures heart with pump<1 yr) is a Anesthesia code. Anesthesia for procedures on the heart, pericardial sac, and great vessels of the chest with cardiopulmonary bypass, in patients younger than one year of age. Covers general anesthesia for open heart surgery in neonates and infants.

How is anesthesia code 00561 billed?

Anesthesia code 00561 is billed using base units plus time units (1 unit = 15 minutes). Used when providing anesthesia for congenital heart surgery with cardiopulmonary bypass in patients under 1 year. Includes repair of tetralogy of Fallot, transposition of great arteries, AV canal defects, and other congenital heart lesions. Highest complexity anesthesia code. Used by anesthesiology, pediatric cardiac anesthesiology, pediatric cardiothoracic surgery.

When is CPT 00561 used?

Used when providing anesthesia for congenital heart surgery with cardiopulmonary bypass in patients under 1 year. Includes repair of tetralogy of Fallot, transposition of great arteries, AV canal defects, and other congenital heart lesions. Highest complexity anesthesia code.

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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.