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    v1.0.28
    OpenPayerBilling CodesAnesthesia for Intrathoracic ProceduresCPT cpt-00530-anesthesia-permanent-transvenous-pacemaker-insertion
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    CPT 00530: Anesthesia for Permanent Transvenous Pacemaker Insertion

    Commercial payers pay $86 on average nationally for this procedure.

    CPT code 00530 describes anesthesia services provided for permanent transvenous pacemaker insertion, a monitored invasive cardiovascular procedure performed by an interventional operator via a central venous approach; service type: anesthesia for cardiac device implantation; typical site of service: hospital operating room or catheterization lab.

    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 rates for CPT 00530 cluster around BUCA’s mean commercial benchmark of $85.7, with individual payer medians showing meaningful variation. Blue Cross Blue Shield’s interquartile spread (P75–P25 = $95.5 − $53.7 = $41.8) sits in the mid range, while Cigna’s spread (P75–P25 = $108.1 − $67.6 = $40.5) is slightly tighter. Aetna displays a much wider interquartile spread (P75–P25 = $155.7 − $48.9 = $106.8), reflecting greater dispersion among contracted rates; UnitedHealth Group is the tightest among listed payers (P75–P25 = $81.1 − $52.0 = $29.1).

    Looking at central tendencies, Cigna’s median of $84.4 and UnitedHealth Group’s median of $64.2 bracket BUCA’s mean, while Blue Cross Blue Shield’s median of $68.3 is near UnitedHealth Group. Aetna’s higher mean ($127.8) and median ($102.7) indicate upward skew relative to BUCA, Cigna, and UnitedHealth Group, contributing to its larger spread. These comparisons highlight where commercial pricing is clustered versus where it is dispersed across the major national payers.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 72-year-old male with ischemic cardiomyopathy, prior acute myocardial infarction (I21.9), and symptomatic bradyarrhythmia is scheduled for implantation of a permanent transvenous pacemaker. The electrophysiology team inserts pacing leads via the right internal jugular vein under fluoroscopic guidance while the anesthesiology team provides monitored anesthesia care or general anesthesia depending on comorbidity and patient tolerance. Preoperative evaluation documents heart failure (I50.9) and underlying atherosclerotic coronary disease (I25.10), with transthoracic echocardiography noting nonrheumatic mitral regurgitation (I34.0) and aortic stenosis (I35.0). The clinical workflow includes pre-op history and physical, anesthesia consent, vascular access and lead placement by the cardiology/cardiothoracic team, intraoperative hemodynamic and airway management by the anesthesiologist, device testing and programming, and immediate post-anesthesia recovery with telemetry monitoring.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    33405

    Related Modifiers

    8 rows

    ModifierDescriptionWhen to Use
    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…
    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…
    55Modifier –55 indicates the billing provider furnished only postoperative management for a procedure that has a global surgical period. According to AAPC, this modifier is appended to the same CPT…- Use modifier -55 when billing the same CPT surgical code that has a 10- or 90-day global period and you, as a provider other than the original surgeon, furnished ONLY postoperative management (no…
    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…
    56Modifier ‑56 indicates the reporting provider furnished only the preoperative management for a surgical procedure and did not perform the intraoperative or postoperative care. It is used in…- Use Modifier -56 when a provider performs only the preoperative management in a split‑care situation (one physician manages preop care while a different physician performs the intraoperative…

    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…
    207RC0000XCardiovascular Disease PhysicianAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threaten…
    207RG0300XGeriatric Medicine (Internal Medicine) PhysicianAn internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects o…
    367A00000XAdvanced Practice MidwifeAdvanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproduc…
    133VN1101XGerontological Nutrition Registered DietitianAn individual who is a Specialist in Gerontological Nutrition and provides nutrition care to promote quality of life and optimal health for older adul…
    332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyAn Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal…
    207QA0401XAddiction Medicine (Family Medicine) PhysicianA family medicine physician who specializes in the diagnosis and treatment of addictions.
    2279P4000XPatient Transport Registered Respiratory TherapistTransport respiratory therapist provide patient assessment, initiation of treatment modalities and continued monitoring of patient status of the criti…

    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-00500-ANESTHESIA-ESOPHAGUS-PROCEDURE

    CPT 00500: Anesthesia for Esophageal Procedure

    CPT-00520-ANESTHESIA-CLOSED-CHEST-BRONCHOSCOPY

    CPT 00520: Anesthesia for Closed Chest Procedures, Bronchoscopy

    CPT-00522-NEEDLE-PLEURAL-BIOPSY-ANESTHESIA-CLOSED-CHEST

    CPT 00522: Anesthesia for Pleural Needle Biopsy

    CPT-00524-ANESTHESIA-CLOSED-CHEST-PNEUMOCENTESIS

    CPT 00524: Anesthesia for Closed-Chest Pneumocentesis

    CPT-00528-ANESTHESIA-MEDIASTINOSCOPY-DIAGNOSTIC-THORACOSCOPY

    CPT 00528: Anesthesia for Mediastinoscopy and Diagnostic Thoracoscopy

    CPT-00529-ANESTHESIA-MEDIASTINOSCOPY-ONE-LUNG-VENTILATION

    CPT 00529: Anesthesia for Mediastinoscopy/Thoracoscopy with One-Lung Ventilation

    CPT-00532-ANESTHESIA-FOR-CENTRAL-VENOUS-ACCESS

    CPT 00532: Anesthesia for Central Venous Access

    CPT-00534-ANESTHESIA-FOR-TRANSVENOUS-CARDIOVERTER-DEFIBRILLATOR-INSERTION

    CPT 00534: Anesthesia for Transvenous Cardioverter–Defibrillator Insertion

    CPT-00537-CARDIAC-ELECTROPHYSIOLOGY-ANESTHESIA

    CPT 00537: Anesthesia for Cardiac Electrophysiology Procedures

    CPT-00539-TRACHEOBRONCHIAL-RECONSTRUCTION-ANESTHESIA

    CPT 00539: Anesthesia for Tracheobronchial Reconstruction

    Showing 1–10 of 23

    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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    Replacement, aortic valve with cardiopulmonary bypass
    Major cardiac surgery that may occur in the same patient population; not performed concurrently but relevant for perioperative risk assessment.
    33533Coronary artery bypass, using arterial graft(s); single arterial graftCABG procedures are performed for coronary disease in this population; relevant for combined or staged cardiac operations.
    33249Insertion or replacement of permanent implantable defibrillator systemRelated device procedure for patients who require ICD therapy instead of or in addition to pacemaker therapy; may be performed in the same setting.
    92928Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branchCoronary intervention that may precede or follow pacemaker insertion in patients with acute ischemia or coronary artery disease.