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    v1.0.28
    OpenPayerBilling CodesAnesthesia for Procedures on the Upper AbdomenCPT cpt-00700-anesthesia-upper-anterior-abdominal-wall
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    CPT 00700: Anesthesia for Upper Anterior Abdominal Wall Procedures

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

    CPT code 00700 describes anesthesia services provided for procedures on the upper anterior abdominal wall, typically general anesthesia or regional anesthesia administered in the operating room for abdominal wall repairs or related surgical interventions; the service type is anesthesia for abdominal wall surgery, performed in an inpatient or outpatient surgical setting.

    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

    Commercial rates for CPT 00700 center on BUCA as an average-commercial benchmark at $85.60. Among the named payers, Aetna posts the highest ceiling with a max of $395.20 and a wide middle spread, while Blue Cross Blue Shield and Cigna occupy lower mean positions at $73.00 and $91.20 respectively. UnitedHealth Group shows the lowest reported max at $122.70 and a modest middle. These figures frame expected reimbursement around the BUCA mean rather than a single-payer norm.

    Dispersion measured by the interquartile spread (P75 minus P25) is widest for Aetna at $113.50 ($179.80–$61.25) and smallest for UnitedHealth Group at $30.90 ($81.10–$52.00). Blue Cross Blue Shield and Cigna show intermediate spreads of $40.39 and $40.60 respectively, while BUCA’s interquartile spread is $42.90 ($108.70–$56.80). This highlights notable variability across commercial payers, with Aetna demonstrating the greatest middle-range volatility and UnitedHealth Group the tightest.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 46-year-old male presents to the ambulatory surgery center with a symptomatic right-sided inguinal bulge and intermittent pain. Physical exam and ultrasound confirm a reducible unilateral inguinal hernia (K40.90). The patient has routine preoperative evaluation by the anesthesia team, ASA class P2, and is scheduled for an open elective inguinal hernia repair (49505) under general anesthesia with a peripheral nerve block for postoperative analgesia. The clinical workflow includes pre-anesthesia assessment, informed consent for anesthesia services, induction of general anesthesia in the operating room, intraoperative anesthetic management while the surgeon repairs the hernia on the upper anterior abdominal wall, emergence and recovery in the PACU, and discharge from the ambulatory facility when recovery criteria are met. Documentation includes anesthesia start and end times, airway management, intraoperative monitoring, anesthetic agents, regional block details if performed, and any modifier-applicable circumstances (for example, unusual procedural difficulty or patient-specific factors).

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    49505Repair initial inguinal hernia, age 5 years or older; reducibleCommon primary surgical procedure for unilateral reducible inguinal hernia; often performed under anesthesia described by .

    Related Modifiers

    10 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…
    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…
    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…
    54Modifier ‑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…
    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…
    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…
    77Modifier 77 indicates that a previously performed procedure or service was legitimately repeated by a different physician or other qualified health care professional. The AMA’s CPT definition…- Use modifier 77 when a basic procedure or service already performed is repeated by a different physician or other qualified health care professional (for example, a second provider independently…
    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…

    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…
    367500000XCertified Registered Nurse Anesthetist(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, prov…
    207LA0401XAddiction Medicine (Anesthesiology) PhysicianAn anesthesiologist who specializes in the diagnosis and treatment of addictions.
    363LX0001XObstetrics & Gynecology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers · Nurse Practitioner
    207Y00000XOtolaryngology PhysicianAn otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ea…
    2085H0002XHospice and Palliative Medicine (Radiology) PhysicianA radiologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specia…
    261QA0900XAmputee Clinic/CenterAn entity, facility, or distinct part of a facility providing counseling, fitting, custom design, prescriptive, and training services related to conge…
    363LW0102XWomen's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers · Nurse Practitioner

    Related Payer Policy Updates

    Specialty: Anesthesiology1 / 3

    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-00702-ANESTHESIA-UPPER-ANTERIOR-ABDOMINAL-WALL-LIVER-BIOPSY

    CPT 00702: Anesthesia for Upper Anterior Abdominal Wall, Percutaneous Liver Biopsy

    CPT-00730-ANESTHESIA-UPPER-POSTERIOR-ABDOMINAL-WALL

    CPT 00730: Anesthesia for Upper Posterior Abdominal Wall Procedures

    CPT-00731-UPPER-GI-ENDOSCOPY-ANESTHESIA

    CPT 00731: Anesthesia for Upper GI Endoscopy to Proximal Duodenum

    CPT-00732-ERCP-ANESTHESIA-PROXIMAL-DUODENUM

    CPT 00732: Anesthesia for ERCP to Proximal Duodenum

    CPT-00750-ANESTHESIA-UPPER-ABDOMEN-HERNIA-REPAIR

    CPT 00750: Anesthesia for Upper Abdominal Hernia Repair

    CPT-00752-UPPER-ABDOMEN-HERNIA-REPAIR-ANESTHESIA

    CPT 00752: Anesthesia for Upper Abdominal Hernia Repairs

    CPT-00754-ANESTHESIA-OMPHALOCELE-UPPER-ABDOMEN-HERNIA-REPAIR

    CPT 00754: Anesthesia for Upper Abdominal Hernia Repair (Omphalocele)

    CPT-00756-TRANSABDOMINAL-DIAPHRAGMATIC-HERNIA-REPAIR-ANESTHESIA

    CPT 00756: Anesthesia for Transabdominal Diaphragmatic Hernia Repair

    CPT-00770-ANESTHESIA-FOR-MAJOR-ABDOMINAL-VASCULAR-PROCEDURE

    CPT 00770: Anesthesia for Major Abdominal Vascular Procedures

    CPT-00790-ANESTHESIA-UPPER-ABDOMINAL-INTRAPERITONEAL-PROCEDURES

    CPT 00790: Anesthesia for Intraperitoneal Upper Abdominal Procedures

    Showing 1–10 of 14

    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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    00700
    49585Repair umbilical hernia, age 5 years or older; reducibleAlternative anterior abdominal wall hernia repair that may use the same anesthesia code when procedure is on the upper anterior abdominal wall.
    49650Laparoscopy, surgical; repair initial inguinal herniaMinimally invasive surgical approach for inguinal hernia repair; may require different anesthesia planning but is related to anesthetic services for abdominal wall hernia repair.
    00840Anesthesia for intraperitoneal procedures in lower abdomenRelated anesthesia code for intraperitoneal lower abdominal work; used when surgical approach involves intraperitoneal cavity rather than anterior wall only.