CPT 00752: Anesthesia for Upper Abdominal Hernia Repair
CPT code 00752 designates anesthesia services for upper abdominal hernia repairs, including lumbar, ventral, incisional hernias, and wound dehiscence. This anesthetic classification is important nationally because it captures perioperative care resource use and billing for a common set of abdominal wall procedures that vary in complexity and patient risk. Accurate reporting of 00752 affects payment, quality measurement, and procedural case mix documentation across hospital and ambulatory surgical settings.
Key payers in this review include Aetna, Blue Cross Blue Shield, Cigna Health, United Healthcare, and Medicare. Readers will find an explanation of the clinical context for anesthesia delivery for upper abdominal hernia repairs, how this code relates to neighboring CPT anesthesia codes, and typical sites of service. The publication outlines common billing considerations, common associated diagnosis contexts for these procedures, and related anesthesia CPT codes used for upper abdominal hernia repairs.
This summary provides national-level guidance on what CPT code 00752 represents, who covers it, and what elements to expect in a billing and clinical documentation review. It is intended to inform billing administrators, anesthesiology departments, and policy analysts about the code’s clinical scope and relevance in perioperative billing workflows.
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Billing Code Overview
CPT code 00752 describes anesthesia services provided for hernia repairs in the upper abdomen, including lumbar and ventral or incisional hernias and wound dehiscence. The service type is anesthesia for surgical repair of upper abdominal hernias. The typical site of service is the operating room or other procedural/surgical setting where general, regional, or monitored anesthesia care is delivered for abdominal wall hernia repair.
National Reimbursement Benchmarks
Commercial rates for CPT 00752 center on a BUCA average of $83.50, with individual payers showing meaningful variation around that benchmark. Blue Cross Blue Shield has a relatively narrow interquartile spread ($91.00 − $51.30 = $39.70), and UnitedHealth Group is similarly tight ($81.00 − $52.00 = $29.00), indicating more consistent commercial payments. Cigna and BUCA display moderate dispersion (Cigna IQR $103.30 − $65.50 = $37.80; BUCA IQR $105.00 − $56.30 = $48.70), while Aetna shows the widest IQR ($173.80 − $66.50 = $107.30), signaling substantial variability in negotiated commercial rates.
Maximum and minimum endpoints further emphasize spread differences: Aetna’s max of $388 contrasts with its $30.20 minimum, whereas UnitedHealth Group’s narrower top-to-bottom band ($122.70 max, $34.90 min) reinforces its tighter distribution. Blue Cross Blue Shield and Cigna occupy midrange positions by both central tendency and dispersion, framing BUCA’s average as a useful market midpoint among these commercial payers.