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    v1.0.28
    OpenPayerBilling CodesAnesthesia for Procedures on the NeckCPT cpt-00352-anesthesia-major-neck-vessels
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    CPT 00352: Anesthesia for Procedures on Major Vessels of Neck

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

    CPT code 00352 describes anesthesia services provided for procedures on the major vessels of the neck, including simple ligation; this represents an anesthesia service typically delivered in an operating room or other advanced procedural suite for vascular surgery of the neck and great vessels and covers perioperative management and anesthetic care tailored to high-risk vascular 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

    National commercial reimbursement for CPT 00352 centers near BUCA’s average commercial rate of $73.70, with notable variation by payer. Blue Cross Blue Shield posts a higher central tendency (median $63.80) than the BUCA average, while Cigna’s mean ($96.50) and median ($86.00) sit well above BUCA. Aetna and UnitedHealth Group have means ($68.10 and $67.40) close to BUCA, though Aetna’s median ($50.00) and UnitedHealth Group’s median ($64.00) indicate slight differences in distribution shape.

    Assessing dispersion using the interquartile range (P75 minus P25) highlights which payers are tightest or widest: Blue Cross Blue Shield has a range of $40.60, UnitedHealth Group is tighter at $27.90, Aetna’s IQR is $50.90, and Cigna shows the widest spread at $58.60. BUCA’s interquartile spread is $39.50, placing it near the middle of the payer dispersion spectrum.

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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 peripheral vascular disease presents with a painful, pulsatile neck mass and imaging demonstrating a symptomatic carotid artery aneurysm involving the common carotid and proximal internal carotid requiring surgical ligation of a major neck vessel. The anesthesiologist performs general endotracheal anesthesia with invasive monitoring (arterial line, central venous access as indicated) and prepares for possible massive hemorrhage and vascular control. The perioperative workflow includes preoperative airway assessment, review of anticoagulation and antiplatelet agents, induction with rapid-sequence or standard technique as clinically indicated, arterial pressure monitoring, vasopressor availability, transfusion readiness, and postoperative transfer to an intensive care unit for continued hemodynamic and neurologic monitoring. Documentation includes procedure performed on major vessels of neck, anesthetic technique, monitoring modalities, intraoperative events (blood loss, transfusion, hemodynamic instability), and post-anesthesia disposition.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    00562Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenatorApplicable when surgery involves great vessels near the thoracic inlet or requires cardiopulmonary bypass techniques that extend anesthetic complexity.

    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…
    207ZC0500XCytopathology PhysicianA cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions an…
    163WP0200XPediatric Registered NurseNursing Service Providers · Registered Nurse
    172V00000XCommunity Health WorkerCommunity health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care syste…
    103TF0000XFamily PsychologistA psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, interve…
    364SX0204XPediatric Oncology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
    2085R0202XDiagnostic Radiology PhysicianA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    2086S0105XSurgery of the Hand (Surgery) PhysicianA surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the up…

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

    CPT 00350: 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.

    00566
    Anesthesia for direct coronary artery bypass grafting; with pump oxygenator
    Related in complex vascular cases where crossover with cardiac bypass techniques or shared resources occurs; not typical for isolated neck vessel ligation.
    00567Anesthesia for direct coronary artery bypass grafting; without pump oxygenatorRelevant in multidisciplinary centers where cardiac and great vessel anesthetic protocols overlap.
    00570Anesthesia for repair of coarctation of aortaRepresents anesthesia services for major aortic repair; included as related great-vessel anesthesia codes when large-vessel techniques or monitoring are comparable.