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00604 Anesthesia procedures crv spn & cord sitting

Anesthesia

Also known as: sitting cervical spine anesthesia, sitting position C-spine anesthesia

Anesthesia for procedures on the cervical spine and spinal cord performed in the sitting position. Covers general anesthesia for cervical surgical procedures where the patient is positioned upright.

In Plain Language

anesthesia for neck spine surgery in sitting position; being put to sleep for neck surgery while sitting up

Clinical Context

Used when providing anesthesia for cervical spine procedures performed in the sitting position, such as posterior cervical approaches for foraminotomy or laminectomy. Carries risk of venous air embolism, hemodynamic instability, and requires precordial Doppler monitoring.

RVU Information

CPT 00604 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

anesthesiologyneurosurgery

Frequently Asked Questions

What is CPT code 00604?

CPT 00604 (Anesthesia procedures crv spn & cord sitting) is a Anesthesia code. Anesthesia for procedures on the cervical spine and spinal cord performed in the sitting position. Covers general anesthesia for cervical surgical procedures where the patient is positioned upright.

How is anesthesia code 00604 billed?

Anesthesia code 00604 is billed using base units plus time units (1 unit = 15 minutes). Used when providing anesthesia for cervical spine procedures performed in the sitting position, such as posterior cervical approaches for foraminotomy or laminectomy. Carries risk of venous air embolism, hemodynamic instability, and requires precordial Doppler monitoring. Used by anesthesiology, neurosurgery.

When is CPT 00604 used?

Used when providing anesthesia for cervical spine procedures performed in the sitting position, such as posterior cervical approaches for foraminotomy or laminectomy. Carries risk of venous air embolism, hemodynamic instability, and requires precordial Doppler monitoring.

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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.