Find policies, billing codes, payers, states, and providers
CPT 00474: Anesthesia for Partial Rib Resection
CPT code 00474 designates anesthesia services for partial rib resection procedures, including cases with more extensive corrective measures such as those undertaken for pectus excavatum. This code captures anesthetic management for thoracic operative procedures where removal of part of the rib(s) is performed and is relevant across inpatient and outpatient surgical settings. Nationally, accurate reporting of this code supports appropriate payment for complex thoracic anesthesia care and aligns clinical documentation with procedural risk and resource use.
Key payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, United Healthcare, and Medicare. Readers will find an overview of clinical context for 00474, typical sites of service, common coding relationships, and nationally relevant considerations for billing and coverage. The discussion highlights how this code fits among related anesthesia codes for closed chest and thoracic procedures and outlines typical clinical indications tied to thoracic conditions.
This publication is oriented to billing professionals, anesthesiology departments, and revenue cycle staff seeking a concise reference on CPT code 00474, including where it is typically used and what clinical scenarios commonly trigger its reporting. Data not available in the input: detailed payer-specific reimbursement benchmarks and utilization statistics.
Customize your policy alerts
Sign up for cpt 00474 policy alerts
Get alerted when payer policies referencing 00474 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 00474 describes anesthesia services provided for a patient undergoing a partial rib resection in which the surgical provider removes a portion of the ribs. The procedure may involve radical measures when used to treat conditions such as pectus excavatum, a hollow depression in the center of the lower chest.
Service Type: Anesthesia for thoracic surgery involving partial rib resection
Typical Site of Service: Operating room (inpatient or outpatient surgical setting)
National Reimbursement Benchmarks
National commercial reimbursement for CPT 00474 centers around BUCA’s average commercial rate of $67.90, with notable variation among individual payers. Blue Cross Blue Shield has a wide spread between the 25th and 75th percentiles (range $41.10), and Cigna shows an even larger interquartile spread (range $53.30), indicating broader negotiated variability. UnitedHealth Group and Aetna are relatively tighter, with ranges of $27.60 and $32.00 respectively, suggesting more concentrated commercial pricing around their medians.
Absolute medians and means vary: Cigna’s mean and median are higher ($92.60 mean, $85.70 median) while UnitedHealth Group and Aetna have lower medians ($64.00 and $48.00). Blue Cross Blue Shield reaches the highest max at $182.70, and Aetna and UnitedHealth Group show lower minima ($30.60 and $33.00). These contrasts highlight distinct payer-level dispersion patterns around BUCA’s average commercial benchmark.