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    OpenPayerBilling CodesAnesthesia for Procedures on the NeckCPT cpt-00326-pediatric-larynx-trachea-anesthesia-infants
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    CPT 00326: Anesthesia for Larynx and Trachea Procedures in Infants

    Commercial payers pay $83 on average nationally for this procedure.

    CPT code 00326 describes anesthesia services provided for procedures on the larynx and trachea in patients younger than one year of age, representing pediatric airway anesthesia care; service type: anesthesia for pediatric laryngeal and tracheal procedures; typical site of service: operating room or pediatric surgical suite where airway procedures are performed in infants.

    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

    For CPT 00326 the BUCA average commercial rate sits at $83.20, offering a useful midpoint against individual payer spreads. Blue Cross Blue Shield has a fairly tight interquartile spread (P75–P25 = $41.00), and UnitedHealth Group is similarly constrained with a spread of $30.00, indicating less variability among contracted commercial rates. Aetna and Cigna show wider dispersion: Aetna’s interquartile range is $77.50 and Cigna’s is $55.30, pointing to greater variability in negotiated rates across providers.

    Looking across extremes, Aetna and Cigna also reach higher upper bounds with max rates of $294.00 and $172.60 respectively, while UnitedHealth Group’s max is $122.70 and Blue Cross Blue Shield’s is $220.80. The combination of BUCA’s $83.20 average and the payer-specific spreads highlights where market rate consistency is stronger (UnitedHealth Group, Blue Cross Blue Shield) versus more variable (Aetna, Cigna).

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 6-month-old infant presents with progressive stridor, feeding difficulties, and episodes of apnea. Otolaryngology evaluation identifies subglottic stenosis and airway compromise requiring direct laryngoscopy and tracheal procedure for airway assessment and possible dilation. The child is scheduled for operating room surgery under general anesthesia with endotracheal intubation appropriate for age. Preoperative evaluation includes airway assessment, review of prior neonatal history (including prematurity and prior intubations), and weight-based medication dosing. The anesthesiology team obtains informed consent from the parent or guardian and prepares for potential difficult pediatric airway management with pediatric-sized equipment, inhalational induction if IV access is not present, and plans for rapid transition to tracheostomy if unable to maintain airway. Intraoperative monitoring includes continuous ECG, pulse oximetry, capnography, blood pressure, and temperature. Anesthesia services are documented from induction through emergence and immediate postoperative handoff. Postoperative care involves monitoring in the post-anesthesia care unit or pediatric intensive care unit depending on airway status and need for ongoing ventilatory support.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    00630Anesthesia for procedures in the lumbar regionRelevant when concurrent lumbar spine surgery is performed during the same anesthetic or when spinal procedures are performed in older pediatric patients; not typical for infants but listed as related code.

    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…
    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…
    59Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
    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…
    292200000XDental LaboratoryA commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of…
    363LP1700XPerinatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers · Nurse Practitioner
    2086S0127XTrauma Surgery PhysicianTrauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residenc…
    1223X2210XOrofacial Pain DentistryA dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disord…
    320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityA home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or development…

    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-00320-ANESTHESIA-ESOPHAGUS-THYROID-LARYNX-TRACHEA-NECK

    CPT 00320: Anesthesia for Esophagus, Thyroid, Larynx, Trachea, Neck Procedures

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

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

    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 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.

    00670Anesthesia for extensive spine and spinal cord proceduresRelated when extensive spinal surgery or spinal cord procedures are performed in the same perioperative episode requiring complex anesthetic management.
    22532Arthrodesis, thoracic vertebraRelated when thoracic spinal fusion is performed in the same hospitalization; indicates complex spine surgery that may require extended anesthesia care.
    22842Posterior segmental instrumentation of the spineRelated to procedures involving spinal fixation where anesthesia planning parallels complex airway and hemodynamic management.
    63047Laminectomy, facetectomy and foraminotomy, single vertebral segment; lumbarRelated as an example of spinal decompression procedures that share perioperative anesthetic considerations when performed in the thoracic region.