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CPT 00148: Anesthesia for Ophthalmoscopy
CPT code 00148 designates anesthesia services furnished for ophthalmoscopy, an ophthalmic diagnostic procedure. This code captures peri-procedural anesthetic management specifically associated with ophthalmoscopy and is used in billing to differentiate anesthesia for this eye procedure from other ocular anesthesia services. Nationally, accurate use of this code supports appropriate resource tracking for anesthesia time and specialty care during eye assessments that require sedation or anesthesia.
Key payers covered in typical analyses include Aetna, Blue Cross Blue Shield, Cigna Health, United Healthcare, and Medicare. Readers will find context on clinical indications for anesthetized ophthalmoscopy, how this code relates to other ocular anesthesia CPT codes, and typical sites of service. The publication outlines benchmarking approaches and common billing considerations so readers can understand where 00148 fits within ophthalmic anesthesia coding and payer coverage patterns.
This summary provides clinicians, billing professionals, and policy analysts with an overview of code purpose, clinical context, and the payer landscape that commonly reimburses for anesthesia during ophthalmoscopy. Data not available in the input includes specific reimbursement rates, utilization frequencies, and payer-specific policy language.
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Billing Code Overview
CPT code 00148 describes anesthesia services provided for a patient undergoing an ophthalmoscopy. The service type is anesthesia for an ophthalmic diagnostic procedure. The typical site of service is an ophthalmology clinic or ambulatory surgical/procedural setting where ophthalmoscopy is performed, including outpatient procedure areas and eye specialty clinics.
National Reimbursement Benchmarks
Across national commercial payers, the BUCA average commercial rate of $73.10 sits near the middle of the insurer distribution, with Cigna ($91.20 mean) and Blue Cross Blue Shield ($72.60 mean) on the higher side of averages and Aetna ($61.60 mean) and UnitedHealth Group ($67.90 mean) slightly lower. Blue Cross Blue Shield reaches a high maximum ($216.70) while Cigna also shows elevated upper-end rates ($165.30), indicating greater potential variability above the BUCA average; Aetna’s and UnitedHealth Group’s maximums are more modest at $154.40 and $122.70, respectively.
Examining interquartile dispersion (P75 minus P25) highlights who is tightest and widest: Blue Cross Blue Shield has a spread of $38.70 (from $51.20 to $94.90), UnitedHealth Group is relatively tight at $29.10 (from $52.00 to $81.10), and Aetna’s spread is $40.20 (from $42.00 to $81.20). Cigna shows the widest IQR at $40.90 (from $67.00 to $107.60), suggesting the most middle-range variability among these commercial payers.