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The CPT® Code 99140 is utilized to indicate that anesthesia services have been complicated by emergency conditions. This code serves as an additional qualifying circumstance that must be reported alongside the primary anesthesia procedure code. It is important to note that CPT® Code 99140 cannot be reported independently; it is always used in conjunction with the codes for the primary anesthetic and surgical procedures. The presence of emergency conditions introduces significant complexities and extraordinary risk factors that affect the delivery of anesthesia services. An emergency condition is defined as a situation where any delay in the treatment of the patient could lead to a substantial increase in the threat to the patient's life, limb, or other critical body parts. This code highlights the need for heightened awareness and preparedness in the administration of anesthesia under such urgent circumstances, ensuring that healthcare providers are adequately compensated for the additional challenges they face in these scenarios.
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The use of CPT® Code 99140 is indicated in situations where anesthesia is complicated by emergency conditions. These conditions may arise in various clinical scenarios, necessitating immediate intervention to prevent significant harm to the patient. The following are specific indications for the application of this code:
The procedural steps associated with the application of CPT® Code 99140 involve the following:
Post-procedure care following the administration of anesthesia complicated by emergency conditions involves close monitoring of the patient’s recovery. The anesthesia provider should ensure that the patient is stable and that any complications arising from the emergency situation are addressed promptly. Continuous assessment of vital signs and overall patient status is critical during the recovery phase. Additionally, thorough documentation of the patient's response to anesthesia and any post-anesthesia care provided is essential for compliance and future reference. The healthcare team should remain vigilant for any signs of complications that may arise due to the emergency nature of the procedure.
| Short Descr | ANES COMP EMERGENCY COND | Medium Descr | ANES COMP BY EMERGENCY CONDITIONS SPECIFY | Long Descr | Anesthesia complicated by emergency conditions (specify) (List separately in addition to code for primary anesthesia procedure) | Status Code | Bundled Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Code Not Recognized by OPPS when submitted on Outpatient Hospital Part B Bill Type (12x/13x) | Type of Service (TOS) | 7 - Anesthesia | Berenson-Eggers TOS (BETOS) | P0 - Anesthesia | MUE | 0 | CCS Clinical Classification | 232 - Anesthesia |
| X4 | Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period | QZ | Crna service: without medical direction by a physician | GC | This service has been performed in part by a resident under the direction of a teaching physician | P3 | A patient with severe systemic disease | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | P4 | A patient with severe systemic disease that is a constant threat to life | AA | Anesthesia services performed personally by anesthesiologist | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | GZ | Item or service expected to be denied as not reasonable and necessary | CR | Catastrophe/disaster related | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | 25 | Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service: it may be necessary to indicate that on the day a procedure or service identified by a cpt code was performed, the patient's condition required a significant, separately identifiable e/m service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. a significant, separately identifiable e/m service is defined or substantiated by documentation that satisfies the relevant criteria for the respective e/m service to be reported (see evaluation and management services guidelines for instructions on determining level of e/m service). the e/m service may be prompted by the symptom or condition for which the procedure and/or service was provided. as such, different diagnoses are not required for reporting of the e/m services on the same date. this circumstance may be reported by adding modifier 25 to the appropriate level of e/m service. note: this modifier is not used to report an e/m service that resulted in a decision to perform surgery. see modifier 57 for significant, separately identifiable non-e/m services, see modifier 59. | 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | CQ | Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant | GP | Services delivered under an outpatient physical therapy plan of care | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | Q0 | Investigational clinical service provided in a clinical research study that is in an approved clinical research study | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | QS | Monitored anesthesia care service | QW | Clia waived test | RT | Right side (used to identify procedures performed on the right side of the body) | U1 | Medicaid level of care 1, as defined by each state | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter |
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| 2024-01-01 | Changed | Short and Medium Descriptions changed. |
| Pre-1990 | Added | Code added. |
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