Summary & Overview
CPT 00948: Anesthesia for Procedures on the Perineum
Headline: CPT 00948: Anesthesia for Perineal Procedures — Billing and Clinical Context
Lead: CPT 00948 represents anesthesiology services provided during procedures on the perineum, commonly billed in ambulatory surgical settings. This code is relevant across specialties that perform perineal interventions and affects claims handling, clinical documentation, and payer coverage decisions nationally.
What the code represents and why it matters: 00948 captures the anesthetic management of operative procedures on the perineum. Accurate use of this code ensures appropriate recognition of anesthesiology services tied to specific operative sites and supports consistent billing practices across facilities. Nationally, its proper application influences reimbursement, provider coding workflows, and administrative audit risk.
Key payers covered: The analysis addresses major commercial insurers including Aetna, Blue Cross Blue Shield, Cigna Health, and UnitedHealthcare.
What readers will learn: The publication provides a concise overview of 00948 in clinical and coding context, outlines typical site-of-service considerations, highlights common related procedure groupings, and identifies documentation elements relevant to claims processing. It also reviews related CPT neighbors and common diagnostic presentations tied to perineal procedures. Where source details are missing, the publication flags "Data not available in the input."
CPT Code Overview
CPT 00948 denotes anesthesia services provided under anesthesia for procedures on the perineum. This code is associated with the Anesthesiology service line and is typically performed in an Ambulatory Surgical Center (POS 24). The code represents the provision of anesthesia during operative procedures targeting the perineal region and is used to document the anesthetic component of care for those interventions.
Clinical & Coding Specifications
Clinical Context
A 28-year-old male presents to an ambulatory surgical center for operative management of phimosis. Preoperative evaluation confirms a healthy patient (ASA P1) and informed consent is obtained. On the day of procedure the patient is taken to the operating room, monitored according to anesthesiology standards, and placed under appropriate anesthesia for procedures on the perineum. The anesthesiologist documents the anesthetic technique, airway assessment, intraoperative monitoring, and emergence and handoff to PACU staff. Typical workflow includes pre-op assessment, anesthesia induction/maintenance for the perineal procedure, surgical treatment (for example frenulotomy or circumcision-related intervention), anesthesia emergence, and discharge from the ambulatory surgical center once recovery criteria are met.
Coding Specifications
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Modifier
QS: Monitored anesthesia care service. Use when anesthesia services are provided as monitored anesthesia care rather than general or regional anesthesia; reported in accordance with payer policies. -
Modifier
P1: A normal healthy patient. Use to designate ASA physical status of a patient who is normal and healthy when required by payer or facility reporting. -
Associated provider taxonomies and specialties:
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