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    v1.0.28
    OpenPayerBilling CodesAnesthesia for Procedures on the Spine and Spinal CordCPT cpt-00625-anesthesia-thoracic-spine-anterior-transthoracic-no-one-lung-ventilation
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    CPT 00625: Anesthesia for Thoracic Spine Procedure, Anterior Transthoracic

    Commercial payers pay $69 on average nationally for this procedure.

    CPT code 00625 describes anesthesia services for procedures on the thoracic spine and spinal cord performed via an anterior transthoracic approach, with the service type being anesthesia care and the typical site of service being an inpatient or ambulatory surgical setting involving thoracic access without one‑lung ventilation.

    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 pricing centers on BUCA as the average commercial benchmark at $68.60, with Blue Cross Blue Shield, Cigna, Aetna, and UnitedHealth Group showing different central tendencies and spreads. Cigna posts the highest median at $85.70 and Aetna the lowest median at $48.00; UnitedHealth Group and Blue Cross Blue Shield sit in between. Maximums vary notably, with Blue Cross Blue Shield and Cigna showing higher caps ($185.80 and $151.40 respectively) while UnitedHealth Group and Aetna have lower maximums ($122.70 and $132.50).

    Examining dispersion using the interquartile range (P75 minus P25) highlights variation in rate consistency: Aetna’s IQR is $28.00, Blue Cross Blue Shield’s IQR is $40.60, BUCA’s IQR is $37.50, Cigna’s IQR is $52.20, and UnitedHealth Group’s IQR is $25.80. Cigna displays the widest IQR at $52.20, indicating the most spread among middle 50% commercial rates, while UnitedHealth Group is the tightest at $25.80, suggesting relatively more consistent commercial pricing.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 62-year-old male with progressive thoracic myelopathy presents for anterior transthoracic decompression and fusion of the thoracic spine for symptomatic spinal cord compression. He reports gait instability, lower extremity numbness, and chronic mid-back pain refractory to conservative care. Preoperative assessment by the anesthesiology team documents coronary artery disease, well-controlled hypertension, and an American Society of Anesthesiologists (ASA) physical status of P3. The planned operative approach is an anterior transthoracic thoracic corpectomy and interbody fusion without use of one‑lung ventilation. The anesthesia workflow includes preoperative airway evaluation, invasive arterial monitoring placement, induction with endotracheal intubation, maintenance of general anesthesia with hemodynamic goal-directed therapy, intraoperative neurophysiologic monitoring coordination, and postoperative handoff to the intensive care unit for neurological observation and pain control. Intraoperative events that may alter coding or documentation include unexpected prolonged operative time, significant blood loss requiring transfusion, conversion to thoracotomy with prolonged ventilatory support, or the need for regional adjuncts for pain management.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    00626Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; utilizing one‑lung ventilation

    Related Modifiers

    5 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…
    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…
    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…
    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…

    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…
    207LA0401XAddiction Medicine (Anesthesiology) PhysicianAn anesthesiologist who specializes in the diagnosis and treatment of addictions.
    207LC0200XCritical Care Medicine (Anesthesiology) PhysicianAn anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialis…
    2086S0122XPlastic and Reconstructive Surgery PhysicianA surgeon who specializes in plastic and reconstructive surgery.
    364SW0102XWomen's Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
    347E00000XTransportation BrokerAn organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Tr…
    207RP1002XPhysician Nutrition Specialist (Internal Medicine)A physician who specializes in the diagnosis and treatment of primary nutritional diseases (e.g., undernutrition, overnutrition, and genetic or acquir…
    207PS0010XSports Medicine (Emergency Medicine) PhysicianAn emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the …

    Related ICD-10-CM Codes

    28 rows

    ICD-10-CM CodeDescription
    C79.51Secondary malignant neoplasm of bone
    G83.4Cauda equina syndrome
    G89.29Other chronic pain
    G95.19Other vascular myelopathies
    M43.27Fusion of spine, lumbosacral region
    M46.26Osteomyelitis of vertebra, lumbar region
    M47.22Other spondylosis with radiculopathy, cervical region
    M47.812Spondylosis without myelopathy or radiculopathy, cervical region
    M48.02Spinal stenosis, cervical region
    M48.04Spinal stenosis, thoracic region

    Showing 1–10 of 28

    Related Payer Policy Updates

    Specialty: Anesthesiology1 / 4

    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-00600-ANESTHESIA-CERVICAL-SPINE-CORD-PROCEDURES

    CPT 00600: Anesthesia for Cervical Spine and Cord Procedure

    CPT-00604-ANESTHESIA-CERVICAL-SPINE-SITTING-POSITION

    CPT 00604: Anesthesia for Cervical Spine and Spinal Cord Procedure, Sitting

    CPT-00620-ANESTHESIA-THORACIC-SPINE-SPINAL-CORD-PROCEDURE

    CPT 00620: Anesthesia for Thoracic Spine and Spinal Cord Procedures

    CPT-00626-ANESTHESIA-THORACIC-SPINE-ANTERIOR-TRANSTHORACIC-ONE-LUNG

    CPT 00626: Anesthesia for Thoracic Spine Procedure, One-Lung Ventilation

    CPT-00630-ANESTHESIA-LUMBAR-REGION-PROCEDURE

    CPT 00630: Anesthesia for Procedures in Lumbar Region

    CPT-00632-LUMBAR-REGION-ANESTHESIA-LUMBAR-SYMPATHECTOMY

    CPT 00632: Anesthesia for Lumbar Region Procedures, Including Lumbar Sympathectomy

    CPT-00635-LUMBAR-REGION-ANESTHESIA-LUMBAR-PUNCTURE

    CPT 00635: Anesthesia for Lumbar Procedures Including Lumbar Puncture

    CPT-00640-ANESTHESIA-FOR-SPINE-MANIPULATION-CLOSED-SPINAL-PROCEDURE

    CPT 00640: Anesthesia for Manipulation or Closed Procedure on the Spine

    CPT-00670-ANESTHESIA-SPINE-INSTRUMENTATION-VASCULAR-PROCEDURE

    CPT 00670: Anesthesia for Extensive Spine and Spinal Cord Procedures

    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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    Alternative anesthesia code when one‑lung ventilation is used instead of the standard approach covered by 00625