CPT 00756: Anesthesia for Transabdominal Diaphragmatic Hernia Repair
CPT code 00756 denotes anesthesia services for transabdominal repair of a diaphragmatic hernia. This code is used when anesthesia professionals provide perioperative anesthesia care for surgical correction of a diaphragmatic discontinuity and reduction of abdominal contents through an abdominal approach. Nationally, accurate reporting of anesthesia codes such as 00756 affects billing consistency, resource allocation for perioperative care, and appropriate payment for complex intra-abdominal procedures.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, United Healthcare, and Medicare. Readers will find an overview of clinical context for the service, typical sites of care, common billing considerations, and related anesthesia procedure groupings. The content highlights where 00756 fits among upper abdominal anesthesia codes and what clinical scenarios commonly map to this code.
The publication provides benchmarks and comparative references to related anesthesia codes for upper abdominal procedures, clarifies clinical indications that commonly lead to its use, and summarizes payer coverage scope. The goal is to give providers, coding professionals, and policy analysts a concise reference for the clinical and billing role of CPT code 00756 across major national payers.
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Billing Code Overview
CPT code 00756 describes anesthesia services provided for a patient undergoing a transabdominal repair of a diaphragmatic hernia. The procedure involves repairing a discontinuity in the respiratory diaphragm and returning protruding abdominal contents to the abdominal cavity via a transabdominal approach.
Service Type: Anesthesia for transabdominal diaphragmatic hernia repair
Typical Site of Service: Hospital operating room or surgical center
National Reimbursement Benchmarks
Commercial national rates for CPT 00756 cluster around BUCA’s average commercial benchmark of $71.3, with notable payer-level differences. Blue Cross Blue Shield shows a relatively wide middle spread (P75 $88.5 minus P25 $48.9 = $39.6), and Cigna displays the largest dispersion (P75 $122.3 minus P25 $68.0 = $54.3), indicating broader variability in negotiated prices. UnitedHealth Group and Aetna are tighter by comparison: UnitedHealth Group’s interquartile range is $29.0 (P75 $81.0 − P25 $52.0) and Aetna’s is $33.0 (P75 $74.3 − P25 $42.0).
Price ceilings also diverge across payers, with Blue Cross Blue Shield peaking at $195.4 and Cigna at $152.6, while UnitedHealth Group and Aetna have lower maximums of $122.7 and $147.0 respectively. Median and mean positions place Cigna and BUCA above the group average, suggesting higher typical reimbursements, while Aetna and UnitedHealth Group sit nearer or below BUCA’s average commercial benchmark of $71.3.