Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.30
    OpenPayerBilling CodesAnesthesia for Procedures on the Thorax (Chest Wall and Shoulder Girdle)CPT cpt-00410-anesthesia-integumentary-procedures-electrical-cardioversion
    Ask Trek AI about this page

    CPT 00410: Anesthesia for Integumentary Procedures with Cardiac Electrical Conversion

    Commercial payers pay $80 on average nationally for this procedure.

    CPT code 00410 describes anesthesia services provided while a patient undergoes procedures on the skin of the upper or lower limbs, the anterior chest and abdomen, or the perineum, and specifically includes cases where the treatment involves electrical conversion to correct cardiac arrhythmia; service type: anesthesia for integumentary procedures with concurrent cardiac electrical conversion; typical site of service: operating room or procedural suite where integumentary surgery and cardioversion are performed.

    For related coverage guidance, see recent payer policy updates: Dental Anesthesia Services, Anesthesia Services for Interventional Pain Management Procedures in an Adult, General Anesthesia and Conscious Sedation Services.

    Customize your policy alerts

    Sign up for cpt 00410 policy alerts

    Get alerted when payer policies referencing 00410 are released or updated.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    National Reimbursement Benchmarks

    Commercial rates for CPT 00410 cluster around BUCA’s average commercial rate of $80.30, with individual payers showing meaningful spread. Aetna and Cigna sit noticeably above BUCA’s mean on average ($92.70 and $91.40 respectively), while Blue Cross Blue Shield and UnitedHealth Group trend lower on mean ($76.60 and $68.00). BUCA’s mean provides a practical midpoint for comparison across these national carriers.

    Dispersion measured as P75 minus P25 highlights variability: Aetna and Cigna both have a range of $63.60 ($119.00 − $57.40 and $108.10 − $67.60 respectively), indicating the widest spread. Blue Cross Blue Shield has a slightly tighter spread of $39.40 ($95.50 − $55.10). UnitedHealth Group is the tightest at $29.40 ($81.40 − $52.00), showing the least intra-payer variability.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • Facility ComparisonBeds, revenue & payer mix
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools
    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 58-year-old male presents to the emergency department with progressive swelling, erythema, and a fluctuant mass on the dorsum of the left hand after a puncture wound. Examination and bedside ultrasound confirm a cutaneous abscess of the hand (L02.419) with surrounding cellulitis (L03.113). The surgical team plans incision and drainage under monitored anesthesia care because the procedure involves the hand and adjacent forearm skin. The anesthesia provider documents pre-anesthesia assessment, obtains informed consent for anesthesia, establishes IV access, administers sedation and local/regional anesthetic as indicated, and provides intraoperative monitoring, airway management as needed, and immediate post-anesthesia recovery. The anesthesia services are reported with 00410. Intraoperative events include transient arrhythmia requiring electrical cardioversion; the anesthesiologist documents the event and the use of external electrical conversion in the anesthesia record. Typical workflow includes pre-op evaluation in the holding area, coordination with the surgical team for limb positioning and sterile field, anesthetic induction with sedation or regional block, continuous physiologic monitoring during the procedure, management of the arrhythmia including cardioversion per ACLS protocol, and handoff to PACU with post-procedure instructions and infection-control measures.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure

    Related Modifiers

    9 rows

    ModifierDescriptionWhen to Use
    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…
    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…
    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…
    99Modifier 99 is a placeholder modifier used when more modifiers apply to a single procedure than the claim form or electronic field allows. The AMA classifies it under Provider Services and Ambulatory…- Use CPT modifier -99 when more modifiers apply to a single procedure line than the claim form or payer field allows (CMS/Noridian: when more than four modifiers are needed); append modifier 99 on…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    207L00000X
    367500000X
    207RA0401X
    207R00000X
    2472E0500X
    174MM1900X
    2470A2800X
    163WM1400X

    Related ICD-10-CM Codes

    5 rows

    ICD-10-CM CodeDescription
    L02.211Cutaneous abscess of abdominal wall
    L02.31Cutaneous abscess of buttock
    L02.419Cutaneous abscess of limb, unspecified
    L03.113Cellulitis of right upper limb
    L03.90Cellulitis, unspecified

    Related Payer Policy Updates

    Specialty: Anesthesiology1 / 3

    10 rows

    PolicyPayerEffective Date
    Dental Anesthesia ServicesProvidence Health Plan2026-10-01
    Anesthesia Services for Interventional Pain Management Procedures in an AdultCigna2026-09-15
    General Anesthesia and Conscious Sedation ServicesUnitedHealthcare2026-09-01
    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
    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-00400-ANESTHESIA-INTEGUMENTARY-EXTREMITIES-ANTERIOR-TRUNK-PERINEUM

    CPT 00400: Anesthesia for Integumentary Procedures on Extremities/Trunk/Perineum

    CPT-00402-ANESTHESIA-INTEGUMENTARY-EXTREMITIES-TRUNK-PERINEUM-BREAST-RECONSTRUCT

    CPT 00402: Anesthesia for Integumentary Procedures on Extremities/Trunk/Perineum

    CPT-00404-ANESTHESIA-INTEGUMENTARY-EXTREMITIES-TRUNK-PERINEUM-BREAST

    CPT 00404: Anesthesia for Integumentary Procedures on Extremities/Trunk/Perineum

    CPT-00406-ANESTHESIA-INTEGUMENTARY-EXTREMITIES-ANTERIOR-TRUNK-PERINEUM

    CPT 00406: Anesthesia for Integumentary and Breast Procedures

    CPT-00450-ANESTHESIA-CLAVICLE-SCAPULA-PROCEDURE

    CPT 00450: Anesthesia for Clavicle and Scapula Procedures

    CPT-00454-CLAVICLE-BIOPSY-ANESTHESIA

    CPT 00454: Anesthesia for Clavicle Biopsy

    CPT-00470-PARTIAL-RIB-REMOVAL-ANESTHESIA

    CPT 00470: Anesthesia for Partial Rib Removal

    CPT-00472-PARTIAL-RIB-RESECTION-THORACOPLASTY-ANESTHESIA

    CPT 00472: Anesthesia for Partial Rib Resection with Thoracoplasty

    CPT-00474-ANESTHESIA-PARTIAL-RIB-RESECTION-THORACIC

    CPT 00474: Anesthesia for Partial Rib Resection

    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.
    Published by

    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.

    00100
    Anesthesia for procedures on salivary glands, including biopsy
    Related as another code for anesthesia for head/neck integumentary procedures; contrast in anatomical site.
    00400Anesthesia for procedures on the integumentary system on the extremities, anterior trunk, or perineumBroader integumentary anesthesia code; 00410 is a more specific code for procedures involving electrical conversion during treatment of arrhythmia.
    00450Anesthesia for procedures on the shoulder and axillaRelated when procedures extend proximally toward shoulder/axilla requiring alternative anesthesia code selection.
    00470Anesthesia for procedures on the humerus and elbowRelated when the surgical field or anesthesia management involves the humerus/elbow region, informing code selection.