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01638 Anesthesia opn/arthr tot sho rplcm

Anesthesia

Also known as: total shoulder replacement anesthesia, TSA anesthesia, reverse shoulder anesthesia

Anesthesia for open or arthroscopic procedures on the shoulder involving total shoulder replacement. Covers general or regional anesthesia for primary total shoulder arthroplasty or reverse total shoulder arthroplasty.

In Plain Language

anesthesia for shoulder replacement surgery; being put to sleep for new shoulder joint

Clinical Context

Used when providing anesthesia for total shoulder arthroplasty (anatomic or reverse) for glenohumeral osteoarthritis, rotator cuff arthropathy, or proximal humerus fractures. Interscalene nerve block with general anesthesia provides optimal surgical conditions and postoperative analgesia.

RVU Information

CPT 01638 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

anesthesiologyorthopedic surgery

Frequently Asked Questions

What is CPT code 01638?

CPT 01638 (Anesthesia opn/arthr tot sho rplcm) is a Anesthesia code. Anesthesia for open or arthroscopic procedures on the shoulder involving total shoulder replacement. Covers general or regional anesthesia for primary total shoulder arthroplasty or reverse total shoulder arthroplasty.

How is anesthesia code 01638 billed?

Anesthesia code 01638 is billed using base units plus time units (1 unit = 15 minutes). Used when providing anesthesia for total shoulder arthroplasty (anatomic or reverse) for glenohumeral osteoarthritis, rotator cuff arthropathy, or proximal humerus fractures. Interscalene nerve block with general anesthesia provides optimal surgical conditions and postoperative analgesia. Used by anesthesiology, orthopedic surgery.

When is CPT 01638 used?

Used when providing anesthesia for total shoulder arthroplasty (anatomic or reverse) for glenohumeral osteoarthritis, rotator cuff arthropathy, or proximal humerus fractures. Interscalene nerve block with general anesthesia provides optimal surgical conditions and postoperative analgesia.

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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.