Jackie is a 9-month-old child who had an arthroscopic procedure completed on her left…

Jackie is a 9-month-old child who had an arthroscopic procedure completed on her left hip joint while under general anesthesia for 45 minutes. The anesthesia code selected by the anesthesiologist was 01202. She has renal dysfunction; therefore, the physical status modifier for the case is P4. The procedure was performed in Madera, California.