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    OpenPayerBilling CodesAnesthesia for Procedures on the HeadCPT cpt-00162-radical-nose-accessory-sinus-anesthesia
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    CPT 00162: Anesthesia for Radical Surgery on Nose and Accessory Sinuses

    Commercial payers pay $74 on average nationally for this procedure.

    CPT code 00162 describes anesthesia services provided for radical surgery on the nose and accessory sinuses; this is an anesthesia service typically delivered in an operating room or surgical suite for extensive sinonasal surgical procedures requiring general anesthesia and airway management.

    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

    National commercial pricing for CPT 00162 centers near BUCA’s average commercial rate of $74, which serves as a useful mid-market reference. Among named payers, Cigna posts the highest mean ($94.20) while UnitedHealth Group and Blue Cross Blue Shield cluster closer to BUCA’s midpoint with means of $67.30 and $69.90 respectively. Aetna exhibits a broader span of outcomes with a notably high maximum ($313.70), indicating occasional outliers above typical contractual levels. Dispersion measured by the interquartile range (P75 minus P25) highlights variation in payer contract consistency: Blue Cross Blue Shield has the tightest IQR at $39.70 (from $50.30 to $90.30), while Cigna shows the widest IQR at $54.20 (from $67.90 to $121.10). Aetna’s IQR is $48.70 (from $42.00 to $87.70) and UnitedHealth Group’s is $28.80 (from $52.00 to $80.80), so payers vary meaningfully in contract spread around BUCA’s mean.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 58-year-old male with a biopsy-proven malignant lesion of the glottis (C32.0) is scheduled for radical surgery of the nose and accessory sinuses to address locally advanced sinonasal tumor extension and to obtain wide oncologic margins. The patient has a history of partial vocal cord paralysis (J38.00) from prior tumor involvement and intermittent stridor with documented inspiratory symptoms (R09.89). Preoperative evaluation by the surgical and anesthesia teams documents potential airway difficulty related to prior laryngeal involvement and congenital airway fragility (Q31.5 noted in pediatric history). The anesthesia plan includes preoperative airway assessment, awake fiberoptic or video-assisted intubation as indicated, planned intraoperative general endotracheal anesthesia with appropriate monitoring, and readiness for emergent tracheostomy if airway collapse occurs.

    The clinical workflow: the patient is evaluated in the preoperative clinic by anesthesia; airway imaging and flexible laryngoscopy are performed. On the day of surgery the anesthesia team conducts an awake or controlled induction depending on airway stability, secures the airway (intubation or tracheostomy if required), administers general anesthesia, provides intraoperative airway and hemodynamic management, and coordinates postoperative extubation planning or transfer to ICU with the surgical team for airway monitoring and pain control. Documentation focuses on airway management technique, anesthetic agents and dosages, any intraoperative complications (e.g., difficult intubation, need for tracheostomy), and the level of supervision or presence of CRNA/Anesthesiology Assistant.

    Related CPT Codes

    CPT Code

    Related Modifiers

    9 rows

    ModifierDescriptionWhen to Use
    22Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
    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…
    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…
    54Modifier ‑54 (“Surgical care only”) is appended to a CPT surgical procedure when the reporting surgeon performs the intraoperative (surgical) component but does not furnish the preoperative and/or…- Use modifier -54 when the reporting surgeon provided only the intraoperative (surgical) component of a procedure and preoperative and/or postoperative management has been or will be provided by…
    55Modifier –55 indicates the billing provider furnished only postoperative management for a procedure that has a global surgical period. According to AAPC, this modifier is appended to the same CPT…- Use modifier -55 when billing the same CPT surgical code that has a 10- or 90-day global period and you, as a provider other than the original surgeon, furnished ONLY postoperative management (no…
    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…
    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…

    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…
    207RA0401XAddiction Medicine (Internal Medicine) PhysicianAn internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified b…
    2080P0203XPediatric Critical Care Medicine PhysicianA pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the criti…
    133VN1101XGerontological Nutrition Registered DietitianAn individual who is a Specialist in Gerontological Nutrition and provides nutrition care to promote quality of life and optimal health for older adul…
    226000000XRecreational Therapist AssistantRecreational Therapist Assistants work in support of or assistant to Recreational Therapists treating patients with disabilities, injuries, and illnes…
    1835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescrip…
    163WX0106XOccupational Health Registered NurseNursing Service Providers · Registered Nurse

    Related ICD-10-CM Codes

    29 rows

    ICD-10-CM CodeDescription
    C30.0Malignant neoplasm of nasal cavity
    C31.0Malignant neoplasm of maxillary sinus
    C31.1Malignant neoplasm of ethmoidal sinus
    C31.2Malignant neoplasm of frontal sinus
    C31.3Malignant neoplasm of sphenoid sinus
    C31.9Malignant neoplasm of accessory sinus, unspecified
    C32.0Malignant neoplasm of glottis
    D21.0Benign neoplasm of connective and other soft tissue of head, face and neck
    G47.33Obstructive sleep apnea (adult) (pediatric)
    J01.90Acute sinusitis, unspecified

    Showing 1–10 of 29

    Related Payer Policy Updates

    Specialty: Anesthesiology1 / 3

    9 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
    Mm_0579_Coveragepositioncriteria_Anesthesia_Services_Selected_Nerve_BlocksCigna2026-05-15
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric DisordersBlue Cross Blue Shield - North Carolina2026-04-01

    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-00142-ANESTHESIA-FOR-EYE-LENS-PROCEDURE

    CPT 00142: Anesthesia for Eye Lens Procedure

    CPT-00144-ANESTHESIA-CORNEAL-TRANSPLANT

    CPT 00144: Anesthesia for Corneal Transplant

    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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    Description
    Relationship to This Procedure
    31500Intubation, endotracheal, emergency procedureMay be performed emergently if airway compromise occurs preoperatively or intraoperatively; documents emergency airway control separate from planned airway management.
    31575Laryngoscopy, flexible; diagnosticUsed preoperatively or intraoperatively for airway assessment and visualization of laryngeal and glottic structures relevant to anesthesia planning.
    31600Tracheostomy, planned (separate procedure)Performed when prolonged airway control is anticipated or when difficult airway is present and a surgical airway is required; anesthesia services for tracheostomy are separately reported.
    60240Thyroidectomy, total or completeRepresents a major head and neck surgical procedure that may occur in the same operative setting or in differential surgical planning; anesthesia considerations and coordination are similar for radical head and neck surgeries.