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    v1.0.28
    OpenPayerBilling CodesAnesthesia for Procedures on the HeadCPT cpt-00142-anesthesia-for-eye-lens-procedure
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    CPT 00142: Anesthesia for Eye Lens Procedure

    Commercial payers pay $81 on average nationally for this procedure.

    CPT code 00142 describes anesthesia services provided for a patient undergoing an eye lens procedure, representing intraoperative anesthesia management for cataract or other lens surgery; service type: anesthesia for ophthalmic lens surgery; typical site of service: ambulatory surgical center or hospital operating room where cataract or intraocular lens procedures are performed.

    For related coverage guidance, see recent payer policy updates: Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders.

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    National Reimbursement Benchmarks

    Commercial rates for CPT 00142 center on BUCA’s average commercial rate of $80.6, with individual payer medians and means clustered around that level. Blue Cross Blue Shield’s interquartile spread (P75–P25) is $39.1, Aetna’s is $60.4, Cigna’s is $41.3, and UnitedHealth Group’s is $29.0; BUCA’s IQR is $39.9. UnitedHealth Group shows the tightest dispersion at $29.0, indicating more consistency in negotiated commercial rates, while Aetna displays the widest dispersion at $60.4, reflecting broader variability in allowed amounts.

    Mean rates range from UnitedHealth Group’s $67.9 up to Aetna’s $101.8, with BUCA positioned near the market at $80.6. Median values are generally close to means for several payers, suggesting modest skew, but the differing IQRs highlight that payers vary in how concentrated or spread out their commercial reimbursements are around those central tendencies.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 72-year-old patient with progressive blurring of vision in the right eye presents to ophthalmology with decreased visual acuity and glare. Clinical exam documents an age-related cataract and preoperative assessment identifies controlled hypertension and well-managed type 2 diabetes. The patient is scheduled for elective extracapsular cataract extraction with intraocular lens placement. An anesthesia professional (anesthesiologist or certified registered nurse anesthetist) provides monitored anesthesia care or general anesthesia depending on patient comorbidities, cooperation, and surgical complexity. Preoperative evaluation includes airway assessment, review of medications (anticoagulants, antihypertensives), informed consent for anesthesia risks, and plan for sedation or regional ocular block. Intraoperative management includes sedation level titration, hemodynamic monitoring, supplemental oxygen, ocular block or topical anesthesia administration as indicated, and readiness to convert to general anesthesia if complications occur. Postoperative care involves emergence monitoring, pain and nausea management, and assessment of visual status before discharge with postoperative ophthalmic instructions.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    66984Extracapsular cataract removal with insertion of intraocular lens prosthesisPrimary surgical procedure for which anesthesia services coded by 00142 are commonly provided.

    Related Modifiers

    8 rows

    ModifierDescriptionWhen to Use
    47Modifier -47 (“Anesthesia by Surgeon”) is appended to a surgical or procedural CPT code when the surgeon personally provides regional or general anesthesia for the procedure. Use of -47 indicates the…- Use modifier -47 when the surgeon personally provides regional or general anesthesia during the surgical procedure (i.e., the surgeon administers the anesthesia in addition to performing the…
    23Modifier -23 (Unusual Anesthesia) is used on anesthesia service CPT codes when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia…- Use modifier -23 only on anesthesia CPT codes (00100–01999) when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia because of…
    50Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    78CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
    99Modifier 99 is a placeholder modifier used when more modifiers apply to a single procedure than the claim form or electronic field allows. The AMA classifies it under Provider Services and Ambulatory…- Use CPT modifier -99 when more modifiers apply to a single procedure line than the claim form or payer field allows (CMS/Noridian: when more than four modifiers are needed); append modifier 99 on…

    Related Provider Taxonomies

    8 rows

    Taxonomy CodeSpecialtyNotes
    207L00000XAnesthesiology PhysicianAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
    367500000XCertified Registered Nurse Anesthetist(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, prov…
    207LA0401XAddiction Medicine (Anesthesiology) PhysicianAn anesthesiologist who specializes in the diagnosis and treatment of addictions.
    2080S0012XPediatric Sleep Medicine PhysicianA Pediatrician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic…
    246ZN0300XNephrology Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers · Specialist/Technologist, Other
    207ZC0006XClinical Pathology PhysicianA pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the labora…
    373H00000XDay Training/Habilitation SpecialistIndividuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills t…
    2471S1302XSonography Radiologic TechnologistA radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, st…

    Related ICD-10-CM Codes

    20 rows

    ICD-10-CM CodeDescription
    B95.61Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere
    H11.421Conjunctival edema, right eye
    H16.9Unspecified keratitis
    H25.13Age-related nuclear cataract, bilateral
    H25.9Unspecified age-related cataract
    H26.8Other specified cataract
    H26.9Unspecified cataract
    H31.113Age-related choroidal atrophy, bilateral
    H33.003Unspecified retinal detachment with retinal break, bilateral
    H33.033Retinal detachment with giant retinal tear, bilateral

    Showing 1–10 of 20

    Related Payer Policy Updates

    Specialty: Anesthesiology1 / 2

    7 rows

    PolicyPayerEffective Date
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use DisordersPremera Bluecross2026-07-01
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use DisordersPremera Bluecross2026-07-01
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use DisordersPremera Bluecross2026-07-01
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use DisordersPremera Bluecross2026-07-01
    Elective Inpatient Services (for Idaho Only)UnitedHealthcare2026-06-01
    Sites of Servicepriority health2026-06-01
    Coverage for Ambulatory Surgery Unit (ASU)/Outpatient Facility and Anesthesia for Dental Servicesuniverahealthcare2026-05-21

    Related Codes

    CPT-00100-ANESTHESIA-FOR-SALIVARY-GLAND-PROCEDURES

    CPT 00100: Anesthesia for Salivary Gland Procedures

    CPT-00102-ANESTHESIA-CLEFT-LIP-REPAIR

    CPT 00102: Anesthesia for Plastic Repair of Cleft Lip

    CPT-00103-ANESTHESIA-RECONSTRUCTIVE-EYELID-SURGERY

    CPT 00103: Anesthesia for Reconstructive Eyelid Procedures

    CPT-00104-ANESTHESIA-FOR-ELECTROCONVULSIVE-THERAPY

    CPT 00104: Anesthesia for Electroconvulsive Therapy

    CPT-00120-ANESTHESIA-FOR-EAR-PROCEDURES

    CPT 00120: Anesthesia for External, Middle, and Inner Ear Procedures

    CPT-00124-ANESTHESIA-EXTERNAL-MIDDLE-INNER-EAR-BIOPSY-OTOSCOPY

    CPT 00124: Anesthesia for External, Middle, and Inner Ear Procedures

    CPT-00126-ANESTHESIA-FOR-OTOLOGIC-PROCEDURES-TYMPANOTOMY-BIOPSY

    CPT 00126: Anesthesia for External, Middle, and Inner Ear Procedures

    CPT-00140-ANESTHESIA-FOR-EYE-PROCEDURE-OPHTHALMIC-SURGERY

    CPT 00140: Anesthesia for Eye Procedure

    CPT-00144-ANESTHESIA-CORNEAL-TRANSPLANT

    CPT 00144: Anesthesia for Corneal Transplant

    CPT-00145-ANESTHESIA-VITREORETINAL-SURGERY

    CPT 00145: Anesthesia for Vitreoretinal Surgery

    Showing 1–10 of 30

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    66982Complex cataract surgery with insertion of intraocular lens prosthesisComplex cataract cases that may require more extensive anesthesia management, potentially affecting anesthesia coding and time.
    92015Determination of refractive statePreoperative assessment that may be performed by ophthalmology prior to definitive cataract surgery and anesthesia planning.
    92136Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculationPreoperative testing used to plan intraocular lens power; performed prior to the anesthetized surgical procedure.