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CPT 00632: Anesthesia for Lumbar Region Procedures, Including Lumbar Sympathectomy
CPT code 00632 represents anesthesia services provided for procedures in the lumbar region, including lumbar sympathectomy. This code is used to report the anesthetic management tied to lumbar surgical interventions and is relevant across inpatient and ambulatory surgical settings nationwide. Accurate reporting of this code supports correct clinical documentation, claims processing, and alignment of anesthesia services with the underlying surgical procedure.
Major national payers in scope include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers can expect an overview of coverage and billing considerations under these payers, common clinical contexts in which 00632 is used, and comparisons to related lumbar anesthesia CPT codes. The publication also outlines typical sites of service and clinical indications commonly associated with lumbar regional anesthesia.
This piece provides clinicians, billing professionals, and policy analysts with a concise reference on the clinical definition and billing role of 00632, its relationship to similar lumbar anesthesia codes, and the payer landscape relevant to national practice. Data not available in the input is clearly noted where applicable.
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Billing Code Overview
CPT code 00632 describes anesthesia services for procedures performed in the lumbar region, specifically including lumbar sympathectomy. The service type is regional anesthesia for lumbar surgical procedures, typically delivered in an operating room or surgical suite where lumbar surgical or endovascular procedures are performed. This code denotes provision of anesthesia care tied to interventions focused on the lumbar spine and adjacent structures.
National Reimbursement Benchmarks
For CPT 00632 the national commercial average (BUCA) sits at $72.00, with individual commercial payers showing meaningful differences around that midpoint. Cigna posts a higher mean of $94.20 with a $75–$25 spread of $52.20 (P75 $121.10 minus P25 $67.90), indicating more variability at the high end. Blue Cross Blue Shield averages $70.70 and shows a wide interquartile spread of $40.60, while Aetna’s mean of $58.30 comes with a narrower IQR of $29.10. UnitedHealth Group’s mean is $67.30 with an IQR of $28.80, the tightest among the named payers.
Range differences highlight dispersion: Cigna is the most variable by IQR, suggesting broader negotiated outcomes, and UnitedHealth Group is the tightest, implying more consistency around its middle quartiles. Blue Cross Blue Shield and BUCA sit near each other on average, but BCBS’s larger IQR signals more spread in allowed amounts compared with the BUCA average commercial benchmark.