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    v1.0.28
    OpenPayerBilling CodesAnesthesia for Procedures on the NeckCPT cpt-00320-anesthesia-esophagus-thyroid-larynx-trachea-neck
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    CPT 00320: Anesthesia for Esophagus, Thyroid, Larynx, Trachea, Neck Procedures

    Commercial payers pay $91 on average nationally for this procedure.

    CPT code 00320 describes anesthesia services provided for patients age one year and older undergoing procedures on the esophagus, thyroid, larynx, trachea, or lymphatic structures of the neck; this represents an anesthesia service (general/regional airway-related anesthesia) typically delivered in an operating room or procedural suite for head and neck surgical procedures.

    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 reimbursement for CPT 00320 centers around a BUCA average commercial rate of $90.50, with individual payer medians and means varying notably. Blue Cross Blue Shield’s interquartile spread (P75–P25) is $36.00, UnitedHealth Group’s spread is $27.80, and Cigna’s spread is $56.40; Aetna shows a much wider spread of $129.20. BUCA’s IQR is $55.80. These spreads indicate that Aetna and Cigna exhibit greater variability in mid-to-upper commercial reimbursements, while UnitedHealth Group and Blue Cross Blue Shield are comparatively tighter.

    Looking at central tendency alongside dispersion, Aetna’s higher mean of $169.80 sits with the largest IQR, suggesting both higher and more variable commercial payments. Blue Cross Blue Shield and UnitedHealth Group present lower means ($70.20 and $67.30, respectively) with tighter IQRs, indicating more consistency around their central rates. BUCA’s mean of $90.50 and moderate IQR place it between the higher‑variance and lower‑variance payers in overall commercial rate behavior.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 45-year-old patient with chronic nasal obstruction, recurrent sinus infections, and nasal polyps presents for operative management. Preoperative evaluation by the anesthesiology team documents ASA physical status P2 due to well-controlled hypertension. The otolaryngologist plans endoscopic sinus surgery with septoplasty and possible turbinate reduction under general anesthesia. In the perioperative workflow the anesthesia provider reviews history, obtains informed consent for anesthesia, performs airway assessment, establishes IV access, induces general anesthesia, secures the airway with endotracheal intubation, provides intraoperative monitoring and anesthetic maintenance for procedures on the nose, nasal sinuses and adjacent neck structures, and manages emergence and postoperative handoff to PACU nursing. Billing uses anesthesia code 00320 when anesthesia is provided for procedures on the esophagus, thyroid, larynx, trachea or lymphatic system of the neck for patients one year or older; in this scenario the provider documents anesthesia time, any unusual services, and appropriate modifiers for concurrent procedures or patient status.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    30140Submucous resection inferior turbinateCommon adjunct procedure for nasal obstruction; often performed with septoplasty and requires intraoperative anesthesia coverage billed under when relevant anatomic sites overlap.

    Related Modifiers

    7 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…
    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…
    207LA0401XAddiction Medicine (Anesthesiology) PhysicianAn anesthesiologist who specializes in the diagnosis and treatment of addictions.
    207LC0200XCritical Care Medicine (Anesthesiology) PhysicianAn anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialis…
    261QB0400XBirthing Clinic/CenterA freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman's residence, …
    133VN1006XMetabolic Nutrition Registered DietitianA registered dietitian who achieves specialized competency in metabolic nutrition.
    175L00000XHomeopathA provider who is educated and trained in a system of therapeutics in which diseases are treated by drugs which are capable of producing in healthy pe…
    207VH0002XHospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianAn obstetrician/gynecologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illness…
    332100000XDepartment of Veterans Affairs (VA) PharmacyDepartment of Veterans Affairs (VA) Pharmacy means any place under VA jurisdiction where drugs are dispensed and Pharmaceutical Care is provided to en…

    Related ICD-10-CM Codes

    31 rows

    ICD-10-CM CodeDescription
    C09.9Malignant neoplasm of tonsil, unspecified
    C32.9Malignant neoplasm of larynx, unspecified
    C33Malignant neoplasm of trachea
    C34.90Malignant neoplasm of unspecified part of unspecified bronchus or lung
    C73Malignant neoplasm of thyroid gland
    D09.3Carcinoma in situ of thyroid and other endocrine glands
    D14.2Benign neoplasm of trachea
    I85.00Esophageal varices without bleeding
    J32.0Chronic maxillary sinusitis
    J32.9Chronic sinusitis, unspecified

    Showing 1–10 of 31

    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-00300-ANESTHESIA-HEAD-NECK-POSTERIOR-TRUNK-INTEGUMENTARY-MUSCLE-NERVE

    CPT 00300: Anesthesia for Head, Neck, Posterior Trunk Procedures

    CPT-00322-ANESTHESIA-FOR-ESOPHAGUS-THYROID-LARYNX-TRACHEA-NECK-PROCEDURES

    CPT 00322: Anesthesia for Esophagus, Thyroid, Larynx, Trachea and Neck Procedures

    CPT-00326-PEDIATRIC-LARYNX-TRACHEA-ANESTHESIA-INFANTS

    CPT 00326: Anesthesia for Larynx and Trachea Procedures in Infants

    CPT-00350-ANESTHESIA-MAJOR-VESSELS-OF-NECK

    CPT 00350: Anesthesia for Procedures on Major Vessels of Neck

    CPT-00352-ANESTHESIA-MAJOR-NECK-VESSELS

    CPT 00352: Anesthesia for Procedures on Major Vessels of Neck

    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 powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    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.

    00320
    31231Nasal endoscopy, diagnosticDiagnostic endoscopic evaluation performed preoperatively or intraoperatively; may occur during the same anesthetic and is part of the operative session.
    31237Nasal/sinus endoscopy, surgicalSurgical endoscopic procedures in the nasal/sinus cavities that frequently accompany septoplasty or polyp removal; anesthesia services for these are covered by 00320 when neck or adjacent structures are involved.
    30520Septoplasty or submucous resection, with or without cartilage scoringPrimary corrective procedure for deviated septum commonly performed in this clinical scenario; anesthesia provided is reported with 00320 when applicable to the described anatomic regions.