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.
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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)
National Reimbursement Benchmarks
National commercial reimbursement for CPT 00750 centers on a BUCA average commercial rate of $84.60, which serves as a midpoint benchmark among carriers. Blue Cross Blue Shield’s spread between the 25th and 75th percentiles is $38.10 ($94.50 - $53.70), Cigna’s spread is $40.30 ($108.10 - $67.60), Aetna exhibits the widest interquartile spread at $114.00 ($169.60 - $55.20), and UnitedHealth Group has the tightest span at $31.40 ($81.40 - $50.00). These ranges indicate varying degrees of price clustering around each payer’s median and mean rates.
Comparative outlook: Blue Cross Blue Shield and Cigna show moderate dispersion suggesting some regional or contractual variation, while Aetna’s high dispersion points to broader variability in allowed amounts for this code. UnitedHealth Group’s narrow interquartile range implies more consistent contractual pricing. Stated mean and median differentials highlight where payer-level averages diverge from BUCA’s commercial average.