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    OpenPayerBilling CodesAnesthesia for Procedures on the NeckCPT cpt-00350-anesthesia-major-vessels-of-neck
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    CPT 00350: Anesthesia for Procedures on Major Vessels of Neck

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

    CPT code 00350 describes anesthesia services provided for procedures on the major vessels of the neck; this typically represents general or monitored anesthesia care for vascular neck operations and is performed in an operating room or procedural suite as the service site.

    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 rates for CPT 00350 center on BUCA’s average commercial benchmark of $76.30 as a midpoint for national expectations, while individual insurers show meaningful spread. Blue Cross Blue Shield (BCBS) and UnitedHealth Group sit below BUCA’s mean at $64.30 and $67.40 respectively, Cigna is above at $93.10, and Aetna exhibits the highest mean at $104.10. BUCA’s reported p25–p75 corridor ($51.00–$97.30) indicates a moderate interquartile band around its average commercial level.

    Dispersion measured by the interquartile range (P75–P25) highlights where rates cluster: Aetna’s IQR is $88.20 ($133.70–$45.00), the widest of the group, indicating the largest middle-50% spread. Blue Cross Blue Shield is the tightest with an IQR of $38.90 ($83.00–$47.10), followed by UnitedHealth Group at $29.00 ($81.00–$52.00), Cigna at $52.20 ($119.90–$67.80), and BUCA at $46.30 ($97.30–$51.00). These comparisons show Aetna with the greatest variability and BCBS with the most compressed commercial range.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Clinical & Coding Specifications

    Clinical Context

    A 72-year-old male with hypertension, hyperlipidemia, and recent transient ischemic attack is scheduled for carotid endarterectomy for high-grade right internal carotid artery stenosis. The surgical team plans an operative exposure of the major vessels of the neck under general endotracheal anesthesia. Preoperative evaluation by the anesthesia team includes airway assessment, review of antiplatelet therapy, optimization of blood pressure, and discussion of neurologic monitoring (awake testing not planned; intraoperative cerebral oximetry and shunt readiness available). On the day of surgery the anesthesiologist directs induction, endotracheal intubation, invasive arterial monitoring, and maintenance of anesthesia, provides hemodynamic management during carotid clamping/unclamping, and participates in immediate postoperative handoff to the post-anesthesia care unit or intensive care unit as indicated.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    00352Anesthesia for procedures on major vessels of neck; simple ligationRelated alternative code used when the surgical service is limited to simple ligation rather than more extensive vascular reconstruction; used to reflect differing anesthesia complexity.

    Related Modifiers

    10 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…
    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…
    77Modifier 77 indicates that a previously performed procedure or service was legitimately repeated by a different physician or other qualified health care professional. The AMA’s CPT definition…- Use modifier 77 when a basic procedure or service already performed is repeated by a different physician or other qualified health care professional (for example, a second provider independently…
    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…
    79Modifier 79 indicates a surgical procedure performed during the postoperative global period of a prior surgery that is unrelated to the original procedure. Per AMA/CPT and CMS guidance, it is…- Use modifier 79 when the same physician (or same‑specialty physician in the same group) performs a surgical procedure during the postoperative global period of a prior surgery and the new procedure…

    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…
    207LC0200XCritical Care Medicine (Anesthesiology) PhysicianAn anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialis…
    2081S0010XSports Medicine (Physical Medicine & Rehabilitation) PhysicianA physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prev…
    208000000XPediatrics PhysicianA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectru…
    246ZN0300XNephrology Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers · Specialist/Technologist, Other
    323P00000XPsychiatric Residential Treatment FacilityA residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four ho…
    163WM0102XMaternal Newborn Registered NurseNursing Service Providers · Registered Nurse

    Related ICD-10-CM Codes

    26 rows

    ICD-10-CM CodeDescription
    C70.9Malignant neoplasm of meninges, unspecified
    G45.1Carotid artery syndrome (hemispheric)
    G45.8Other transient cerebral ischemic attacks and related syndromes
    G45.9Transient cerebral ischemic attack, unspecified
    I63.9Cerebral infarction, unspecified
    I65.21Occlusion and stenosis of right carotid artery
    I65.22Occlusion and stenosis of left carotid artery
    I65.23Occlusion and stenosis of bilateral carotid arteries
    I65.29Occlusion and stenosis of unspecified carotid artery
    I66.9Occlusion and stenosis of unspecified cerebral artery

    Showing 1–10 of 26

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

    CPT 00326: Anesthesia for Larynx and Trachea Procedures in Infants

    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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