00670 Anesthesia xtnsv sp & spinal cord procedures
Also known as: complex spine surgery anesthesia, spinal fusion anesthesia, scoliosis surgery anesthesia
Anesthesia for extensive spine and spinal cord procedures, including instrumentation. Covers general anesthesia for complex, multi-level spinal reconstruction with instrumented fusion, typically involving significant operative time and blood loss.
In Plain Language
anesthesia for major back surgery with hardware; being put to sleep for extensive spine fusion
Clinical Context
Used when providing anesthesia for extensive spinal surgery including multi-level spinal fusion, scoliosis correction, kyphosis correction, and complex spinal reconstruction. Requires neuromonitoring (SSEPs/MEPs), cell saver, large-bore IV access, and careful hemodynamic and transfusion management.
RVU Information
CPT 00670 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
Frequently Asked Questions
What is CPT code 00670?
CPT 00670 (Anesthesia xtnsv sp & spinal cord procedures) is a Anesthesia code. Anesthesia for extensive spine and spinal cord procedures, including instrumentation. Covers general anesthesia for complex, multi-level spinal reconstruction with instrumented fusion, typically involving significant operative time and blood loss.
How is anesthesia code 00670 billed?
Anesthesia code 00670 is billed using base units plus time units (1 unit = 15 minutes). Used when providing anesthesia for extensive spinal surgery including multi-level spinal fusion, scoliosis correction, kyphosis correction, and complex spinal reconstruction. Requires neuromonitoring (SSEPs/MEPs), cell saver, large-bore IV access, and careful hemodynamic and transfusion management. Used by anesthesiology, neurosurgery, orthopedic spine surgery.
When is CPT 00670 used?
Used when providing anesthesia for extensive spinal surgery including multi-level spinal fusion, scoliosis correction, kyphosis correction, and complex spinal reconstruction. Requires neuromonitoring (SSEPs/MEPs), cell saver, large-bore IV access, and careful hemodynamic and transfusion management.
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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.