CPT code 00142: Anesthesia for Procedures on the Eye

Yes, retrobulbar blocks can be billed in conjunction with CPT code 00142, which covers anesthesia services for lens surgery such as cataract extraction or lens replacement. The retrobulbar block is a regional anesthesia technique used to numb the eye and surrounding tissues, typically administered by an anesthesiologist or certified registered nurse anesthetist (CRNA) as part of the overall anesthesia plan.

Yes, monitored anesthesia care (MAC) can be billed under CPT code 00142 if it is medically necessary and provided by an anesthesiologist during lens surgery. MAC involves the anesthesiologist or CRNA monitoring the patient’s vital signs and giving sedation or analgesia without general anesthesia.

When billing MAC with 00142, it is important to append the appropriate HCPCS modifier -QS to indicate monitored anesthesia care services, ensuring correct reimbursement and compliance with payer requirements.

Yes, certified registered nurse anesthetists (CRNAs) can bill CPT code 00142 independently when they perform the anesthesia service. When billing independently, CRNAs must use the appropriate anesthesia modifier to indicate their role—for example, -QZ for CRNA service without medical direction by a physician.