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

Commercial payers pay $72 on average nationally for this procedure.

CPT code 00632 describes anesthesia services provided for procedures in the lumbar region, specifically including lumbar sympathectomy; the service type is anesthesia for lumbar-region surgical or interventional procedures and the typical site of service is an operating room or interventional procedure suite where regional or general anesthesia is administered for lumbar surgical interventions.

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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.

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 chronic lumbar radiculopathy and neurogenic claudication presents for lumbar sympathectomy to treat refractory lower-extremity vasospastic pain and autonomic dysfunction after conservative measures failed. Preoperative evaluation in the ambulatory surgery center documents prior lumbar imaging demonstrating multilevel degenerative changes with L4-L5 disc displacement (M51.26) and moderate lumbar spinal stenosis (M48.06). The anesthesia team (Anesthesiology Physician or Certified Registered Nurse Anesthetist) reviews comorbidities, confirms informed consent, establishes intravenous access, and provides monitored anesthesia care with sedation and regional blockade as indicated. Intraoperative management includes hemodynamic monitoring, positioning for fluoroscopic access to the lumbar sympathetic chain, sterile technique, administration of anesthetic agents, and potential conversion to general anesthesia if required. Post-procedure recovery takes place in the post-anesthesia care unit with focused monitoring for hemodynamic instability and neurologic exam prior to discharge or inpatient admission based on clinical status.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`00630`	Anesthesia procedures in lumbar region NOS	Alternative code for lumbar regional anesthesia when (lumbar sympathectomy) is not the specific procedure performed; used when documentation does not support the more specific sympathectomy code.

Related Modifiers

9 rows

Modifier	Description	When to Use
22	Modifier –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…
23	Modifier -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…
50	Modifier –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…
52	Modifier ‑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…
53	Modifier 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…
54	Modifier ‑54 (“Surgical care only”) is appended to a CPT surgical procedure when the reporting surgeon performs the intraoperative (surgical) component but does not furnish the preoperative and/or…	- Use modifier -54 when the reporting surgeon provided only the intraoperative (surgical) component of a procedure and preoperative and/or postoperative management has been or will be provided by…
55	Modifier –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…
62	Modifier 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…
78	CPT 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…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
367500000X	Certified Registered Nurse Anesthetist	(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, prov…
207LP2900X	Pain Medicine (Anesthesiology) Physician	An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chr…
207QS0010X	Sports Medicine (Family Medicine) Physician	A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of hea…
364SP0813X	Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
261QG0250X	Genetics Clinic/Center	An entity, facility, or distinct part of a facility providing analysis of family history, genetic laboratory testing and analysis, diagnosis of geneti…
364SN0800X	Neuroscience Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
293D00000X	Physiological Laboratory	A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans,…

Related ICD-10-CM Codes

26 rows

ICD-10-CM Code	Description
G56.41	Causalgia of right upper limb
G57.61	Lesion of plantar nerve, right lower limb
G57.62	Lesion of plantar nerve, left lower limb
G89.3	Neoplasm related pain (acute) (chronic)
I70.231	Atherosclerosis of native arteries of right leg with ulceration of thigh
I73.9	Peripheral vascular disease, unspecified
I74.3	Embolism and thrombosis of arteries of the lower extremities
I83.10	Varicose veins of unspecified lower extremity with inflammation
I87.2	Venous insufficiency (chronic) (peripheral)
M47.26	Other spondylosis with radiculopathy, lumbar region

Showing 1–10 of 26

Related Payer Policy Updates

Specialty: Anesthesiology1 / 4

7 rows

Policy	Payer	Effective Date
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders	Premera Bluecross	2026-07-01
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders	Premera Bluecross	2026-07-01
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders	Premera Bluecross	2026-07-01
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders	Premera Bluecross	2026-07-01
Elective Inpatient Services (for Idaho Only)	UnitedHealthcare	2026-06-01
Sites of Service	priority health	2026-06-01
Coverage for Ambulatory Surgery Unit (ASU)/Outpatient Facility and Anesthesia for Dental Services	univerahealthcare	2026-05-21

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-00625-ANESTHESIA-THORACIC-SPINE-ANTERIOR-TRANSTHORACIC-NO-ONE-LUNG-VENTILATION

CPT 00625: Anesthesia for Thoracic Spine Procedure, Anterior Transthoracic

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-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.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.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.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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Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

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State Reimbursement Rates

State: Alaska1 / 51

Rate by payer

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`00630`	Anesthesia procedures in lumbar region NOS	Alternative code for lumbar regional anesthesia when (lumbar sympathectomy) is not the specific procedure performed; used when documentation does not support the more specific sympathectomy code.

Related Modifiers

9 rows

Modifier	Description	When to Use
22	Modifier –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…
23	Modifier -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…
50	Modifier –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…
52	Modifier ‑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…
53	Modifier 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…
54	Modifier ‑54 (“Surgical care only”) is appended to a CPT surgical procedure when the reporting surgeon performs the intraoperative (surgical) component but does not furnish the preoperative and/or…	- Use modifier -54 when the reporting surgeon provided only the intraoperative (surgical) component of a procedure and preoperative and/or postoperative management has been or will be provided by…
55	Modifier –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…
62	Modifier 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…
78	CPT 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…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
367500000X	Certified Registered Nurse Anesthetist	(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, prov…
207LP2900X	Pain Medicine (Anesthesiology) Physician	An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chr…
207QS0010X	Sports Medicine (Family Medicine) Physician	A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of hea…
364SP0813X	Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
261QG0250X	Genetics Clinic/Center	An entity, facility, or distinct part of a facility providing analysis of family history, genetic laboratory testing and analysis, diagnosis of geneti…
364SN0800X	Neuroscience Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
293D00000X	Physiological Laboratory	A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans,…

Related ICD-10-CM Codes

26 rows

ICD-10-CM Code	Description
G56.41	Causalgia of right upper limb
G57.61	Lesion of plantar nerve, right lower limb
G57.62	Lesion of plantar nerve, left lower limb
G89.3	Neoplasm related pain (acute) (chronic)
I70.231	Atherosclerosis of native arteries of right leg with ulceration of thigh
I73.9	Peripheral vascular disease, unspecified
I74.3	Embolism and thrombosis of arteries of the lower extremities
I83.10	Varicose veins of unspecified lower extremity with inflammation
I87.2	Venous insufficiency (chronic) (peripheral)
M47.26	Other spondylosis with radiculopathy, lumbar region

Showing 1–10 of 26

Related Payer Policy Updates

Specialty: Anesthesiology1 / 4

7 rows

Policy	Payer	Effective Date
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders	Premera Bluecross	2026-07-01
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders	Premera Bluecross	2026-07-01
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders	Premera Bluecross	2026-07-01
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders	Premera Bluecross	2026-07-01
Elective Inpatient Services (for Idaho Only)	UnitedHealthcare	2026-06-01
Sites of Service	priority health	2026-06-01
Coverage for Ambulatory Surgery Unit (ASU)/Outpatient Facility and Anesthesia for Dental Services	univerahealthcare	2026-05-21

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-00625-ANESTHESIA-THORACIC-SPINE-ANTERIOR-TRANSTHORACIC-NO-ONE-LUNG-VENTILATION

CPT 00625: Anesthesia for Thoracic Spine Procedure, Anterior Transthoracic

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-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.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.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.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.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

00632

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

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National Reimbursement Benchmarks

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

Sign up for cpt 00632 policy alerts

National Reimbursement Benchmarks

State Reimbursement Rates

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

References

State Reimbursement Rates

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

References

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

Sign up for cpt 00632 policy alerts

National Reimbursement Benchmarks

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

Sign up for cpt 00632 policy alerts

National Reimbursement Benchmarks

State Reimbursement Rates

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

What does CPT 00632 describe?

When might CPT 00632 be used in the clinical context provided?

What alternative or related anesthesia CPT codes should coders consider?

Which diagnoses listed in the page context commonly relate to use of CPT 00632?

Which payers are indicated as covering this code on the summary metadata?

References

State Reimbursement Rates

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

What does CPT 00632 describe?

When might CPT 00632 be used in the clinical context provided?

What alternative or related anesthesia CPT codes should coders consider?

Which diagnoses listed in the page context commonly relate to use of CPT 00632?

Which payers are indicated as covering this code on the summary metadata?

References