CPT 00524: Anesthesia for Closed Chest Pneumocentesis
CPT code 00524 denotes anesthesia services furnished for a closed chest pneumocentesis, a procedure in which a needle is inserted into the lung to drain fluid. The code captures the anesthetic management and monitoring provided while another clinician performs the thoracic needle drainage. Nationally, accurate use of this anesthesia code is important for correct clinical documentation, appropriate claim adjudication, and ensuring consistent representation of peri-procedural care intensity across facilities.
Key payers included in this review are Aetna, Blue Cross Blue Shield, Cigna Health, United Healthcare, and Medicare. Readers will find a concise explanation of the clinical context for 00524, guidance on typical sites of service, and how this code relates to common shoulder and thoracic procedural workflows. The publication outlines common clinical pairings and related surgical or procedural codes that may appear on same-day claims, and highlights typical scenarios where anesthesia coding must reflect the specific procedure performed.
This summary provides a national perspective for billing managers, anesthesiology departments, and revenue cycle staff seeking clear context about when 00524 applies, what clinical settings are typical, and which major payers are relevant for coverage and claims processing. Data not available in the input will be noted where applicable in detailed sections.
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Billing Code Overview
CPT code 00524 describes anesthesia services provided during a closed chest pneumocentesis procedure in which another clinician inserts a needle into the lung to drain fluid. The code reflects perioperative anesthesia management specific to this thoracic procedure.
Service Type: Anesthesia for closed chest pneumocentesis
Typical Site of Service: Hospital operating room or procedure suite (inpatient or outpatient), or other facility-based procedural setting
National Reimbursement Benchmarks
Commercial reimbursements for CPT 00524 cluster around BUCA’s average of $75.60, which functions as a practical market midpoint. Cigna’s mean is higher at $91.40 while Aetna, Blue Cross Blue Shield, and UnitedHealth Group sit nearer BUCA: Aetna $72.10, Blue Cross Blue Shield $74.10, UnitedHealth Group $68.00. Payer medians follow a similar pattern with Cigna showing a higher median ($84.40) and UnitedHealth Group a lower median ($64.40), indicating Cigna pays a premium relative to most peers.
Measuring dispersion by the interquartile difference (P75 minus P25) highlights variation: Aetna’s IQR is $49.80 ($93.80 - $42.00), Blue Cross Blue Shield’s is $41.10 ($94.80 - $53.70), BUCA’s is $40.80 ($94.60 - $53.80), Cigna’s is $41.60 ($108.20 - $67.60), and UnitedHealth Group’s is $31.40 ($81.40 - $52.00). UnitedHealth Group is the tightest market (IQR $31.40) while Aetna is the widest (IQR $49.80).