CPT 00750: Anesthesia for Upper Abdominal Hernia Repair
CPT code 00750 represents anesthesia services for hernia repairs located in the upper abdomen when not otherwise specified. This code captures anesthetic management during surgical repair of upper abdominal hernias and is used across hospital-based and ambulatory surgical settings. Nationally, accurate use of this anesthesia code affects case classification, billing consistency, and resource tracking for perioperative care.
Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, United Healthcare, and Medicare. Readers can expect an overview of how 00750 is applied in clinical billing, comparisons to related anesthesia codes for abdominal hernia procedures, and practical context for common billing scenarios. The publication details typical sites of service, common clinical contexts for use, and the relationship of 00750 to nearby anesthesia codes that cover specific hernia subtypes.
The report is intended for clinicians, billing professionals, and policy analysts seeking a concise reference to code intent and clinical scope. It summarizes clinical applicability, payer coverage landscape, and code-to-procedure connections to support consistent coding and administrative clarity at a national level.
Sign up for cpt 00750 policy alerts
Get alerted when payer policies referencing 00750 are released or updated.
Billing Code Overview
CPT code 00750 describes anesthesia services provided for hernia repairs in the upper abdomen, not otherwise specified. The service encompasses anesthesia management throughout the surgical procedure.
Service type: Anesthesia for upper abdominal hernia repair
Typical site of service: Inpatient or outpatient surgical setting (operating room)
Clinical & Coding Specifications
Clinical Context
A 56-year-old male presents for elective repair of an upper abdominal ventral hernia. He has a history of carotid artery stenosis managed medically, documented by diagnoses such as I65.21 and I65.22, and recent transient ischemic symptoms requiring perioperative hemodynamic monitoring. The surgical team schedules an open ventral hernia repair under general anesthesia with possible regional block for postoperative analgesia. The anesthesia provider documents preoperative assessment, intraoperative management including airway control, anesthetic agents, invasive arterial monitoring given cerebrovascular disease, and emergence care. The procedure is billed using 00750 for anesthesia services specific to hernia repairs in the upper abdomen. Typical workflow: pre-op evaluation and ASA classification; placement of monitoring (ECG, pulse oximetry, noninvasive/arterial BP); induction of general anesthesia; intraoperative anesthesia management and hemodynamic optimization; postoperative handoff to PACU with pain control plan and neurologic monitoring due to carotid disease.
Coding Specifications
- Selected modifiers represent those most clinically relevant to anesthesia for upper abdominal hernia repair.
| Modifier | Description | When to Use |
|---|---|---|
AA | Anesthesia services performed personally by anesthesiologist | Use when a physician anesthesiologist personally performs the anesthesia care. |
AD | Medical supervision by a physician: more than four concurrent anesthesia procedures | Use when the physician supervises multiple simultaneous cases beyond four. |
QK | Medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals | Use when the anesthesiologist medically directs CRNAs/assistants for 2–4 concurrent cases. |
QX | CRNA service: CRNA with medical direction by a physician | Use when a CRNA delivers anesthesia under physician direction. |
QS | Monitored anesthesia care (MAC) service | Use when MAC rather than general anesthesia is provided for the procedure. |
22 | Increased procedural services | Use when the anesthesia service is substantially greater than typical for the procedure (document rationale). |
23 | Unusual anesthesia — exempt from general anesthesia rules | Use when general anesthesia is medically necessary but unusual for the procedure. |
62 | Two surgeons | Use when two surgeons are required concurrently for the operative procedure (impacts global surgical billing, relevant to anesthesia documentation only). |
78 | Unplanned return to the operating room for a related procedure during the postoperative period | Use when the patient requires immediate reoperation for a complication. |
52 | Reduced services | Use when the anesthesia service is partially reduced or not completed as planned. |
53 | Discontinued procedure | Use when anesthesia is discontinued due to patient condition or intraoperative decision. |
56 | Preoperative assessment only | Use when only pre-anesthetic evaluation is performed and not the anesthesia administration. |
FY | Left after pre-op evaluation without receiving services | Use when patient leaves against medical advice or for other reasons before anesthesia provided. |
QY | Medical direction of one CRNA by an anesthesiologist | Use when an anesthesiologist directs a single CRNA for the case. |
P3 | ASA classification — severe systemic disease | Use on anesthesia record for risk stratification when patient has severe systemic disease (e.g., significant carotid stenosis). |
| Taxonomy Code | Specialty | Notes |
|---|---|---|
207L00000X | Anesthesiology | Physician anesthesiologists who personally provide or direct anesthesia for abdominal hernia repair. |
367500000X | Certified Registered Nurse Anesthetist | CRNAs providing anesthesia services, often under supervision or direction arrangements. |
367H00000X | Anesthesiologist Assistant | Anesthesiologist assistants participating under physician anesthesiologist direction. |
Related Diagnoses
| ICD-10 Code | Description | Clinical Relevance |
|---|---|---|
I65.21 | Occlusion and stenosis of right carotid artery | Indicates cerebrovascular disease increasing perioperative stroke risk; guides intraoperative BP management and monitoring during anesthesia for hernia repair. |
I65.22 | Occlusion and stenosis of left carotid artery | Same clinical implications for perioperative neurologic risk and anesthetic planning when left-sided carotid disease is present. |
I65.23 | Occlusion and stenosis of bilateral carotid arteries | Represents high cerebrovascular risk; may necessitate invasive monitoring and careful hemodynamic control during anesthesia. |
I65.29 | Occlusion and stenosis of unspecified carotid artery | Coded when laterality is not specified; still signals need for cerebrovascular risk mitigation in anesthetic care. |
I66.9 | Occlusion and stenosis of unspecified cerebral artery | Indicates intracranial arterial disease that affects perioperative neurologic risk assessment and intraoperative monitoring plans. |
Related CPT Codes
| CPT Code | Description | Relationship to This Procedure |
|---|---|---|
00752 | Anesthesia for hernia repairs in the upper abdomen, including lumbar and ventral or incisional hernia and/or wound dehiscence | Alternative anesthesia code used for similar upper abdominal hernia repairs when documentation supports the broader descriptor; choose the most specific applicable code. |
00754 | Anesthesia for hernia repair in the upper abdomen for an omphalocele | Used when the operative repair specifically addresses an omphalocele; not typical for routine ventral hernia. |
00756 | Anesthesia for transabdominal repair of a diaphragmatic hernia | Used when the repair involves a transabdominal diaphragmatic hernia rather than a standard upper abdominal ventral/incisional hernia. |