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    OpenPayerBilling CodesAnesthesia for Procedures on the HeadCPT cpt-00216-anesthesia-intracranial-vascular-procedures
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    CPT 00216: Anesthesia for Intracranial Vascular Procedures

    Commercial payers pay $76 on average nationally for this procedure.

    CPT code 00216 describes anesthesia services provided for patients undergoing intracranial vascular procedures, representing intraoperative anesthesia management typically delivered as general anesthesia in an inpatient or catheterization/angiography suite setting for neurovascular interventions such as endovascular repair or thrombectomy.

    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 commercial rates cluster around BUCA’s average commercial level of $76.3, with Cigna ($92.4 mean) and Aetna ($107.1 mean) above that mark and Blue Cross Blue Shield ($63.6 mean) and UnitedHealth Group ($67.3 mean) below. Blue Cross Blue Shield and UnitedHealth Group medians both sit at $57.6 and $64 respectively, while Cigna and Aetna show higher central tendencies; this suggests moderate variation in typical contracted levels across major national payers.

    Dispersion measured by the interquartile range (P75−P25) is narrowest for Blue Cross Blue Shield at $37.5 and for UnitedHealth Group at $28.8, indicating tighter mid‑range agreements. Aetna exhibits the widest IQR at $85.0, followed by Cigna at $53.1 and BUCA at $45.6, reflecting greater variability in commercial pricing among those payers.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 68-year-old male with hypertension and hyperlipidemia presents with transient ischemic attacks and imaging demonstrating high-grade stenosis of the right internal carotid artery. The vascular neurosurgery and interventional neuroradiology teams plan an intracranial endovascular procedure to perform diagnostic and therapeutic catheter-directed intervention under monitored general anesthesia. The anesthesia team evaluates the patient preoperatively, documents airway assessment, comorbidities, and ASA physical status (commonly P3), and prepares for intraoperative neurophysiologic monitoring and hemodynamic management to maintain cerebral perfusion. Intraoperatively, the anesthesiologist administers induction agents, secures the airway with endotracheal intubation, manages ventilation and invasive arterial monitoring, and provides anesthetic depth sufficient for neurointervention. Post-procedure, the patient is transferred to the post-anesthesia care unit or neuro-intensive care unit for neurologic monitoring and blood pressure control. The service described by 00216 specifically denotes anesthesia for intracranial vascular procedures and is reported when the anesthesia provider is responsible for anesthetic care throughout this endovascular or open intracranial vascular intervention.

    Related CPT Codes

    • CPT Code | Description | Relationship to This Procedure |---|---|---| | 36221 | Non-selective catheter placement, carotid artery | Performed by interventional radiology or neuroradiology to access the carotid circulation during diagnostic angiography or intervention; anesthesia 00216 covers anesthetic care during such vascular access and interventions. | 36222 | Selective catheter placement, common carotid artery | Used when selective catheterization of the common carotid artery is required for diagnostic or therapeutic procedures; often done during the same operative session requiring anesthesia services coded with . | | Selective catheter placement, internal carotid artery | Performed for targeted diagnostic imaging or intervention of the internal carotid artery; typically occurs during intracranial vascular procedures under anesthesia . | | Selective catheter placement, external carotid artery | Used when the external carotid artery requires selective catheterization for embolization or diagnostic purposes during intracranial vascular procedures where anesthesia is provided.

    Related Modifiers

    5 rows

    ModifierDescriptionWhen to Use
    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…
    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…
    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…
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    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…
    207LA0401XAddiction Medicine (Anesthesiology) PhysicianAn anesthesiologist who specializes in the diagnosis and treatment of addictions.
    367H00000XAnesthesiologist AssistantAn individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants …
    331L00000XBlood BankAn institution (organization or distinct part thereof) that performs, or is responsible for the performance of, the collection, processing, storage an…
    243U00000XRadiology Practitioner AssistantA Radiology Practitioner Assistant (RPA) is a health professional certified as a registered radiographer with the American Registry of Radiologic Tech…
    204C00000XSports Medicine (Neuromusculoskeletal Medicine) PhysicianA Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of spor…
    251F00000XHome Infusion AgencyAgencies · Home Infusion
    207RG0100XGastroenterology PhysicianAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This…

    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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