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    OpenPayerBilling CodesAnesthesia for Procedures on the Upper AbdomenCPT cpt-00797-anesthesia-gastric-restrictive-procedure-morbid-obesity
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    CPT 00797: Anesthesia for Gastric Restrictive Procedure

    Commercial payers pay $78 on average nationally for this procedure.

    CPT code 00797 describes anesthesia services for a patient undergoing a gastric restrictive procedure for morbid obesity, where the surgeon approaches the stomach through the abdominal wall (often laparoscopically) to place a band or otherwise reduce stomach volume; service type: general anesthesia for bariatric restrictive surgery; typical site of service: inpatient or outpatient hospital operating room or ambulatory surgery center.

    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

    National commercial pricing for CPT 00797 centers on a BUCA average commercial rate of $77.9, with individual payers showing meaningful variation around that midpoint. Blue Cross Blue Shield has a lower central tendency (median $58.4) while Aetna and Cigna sit higher (medians $94.6 and $85.7 respectively); UnitedHealth Group’s median is $64.00. Maximum values differ substantially across payers, with Aetna reaching $303 and Cigna $151.4, indicating pockets of high reimbursement at the top end of the commercial market.

    Rate dispersion measured by the interquartile spread (P75–P25) highlights where rates are tightest or widest: UnitedHealth Group is tightest with a spread of $27.80 ($80.80–$52.00), followed by Blue Cross Blue Shield at $34.40 ($83.30–$47.90). Aetna is the most dispersed with a spread of $63.90 ($136.10–$72.20), and Cigna shows a wide spread of $52.30 ($119.90–$67.70). BUCA’s IQR is $38.90 ($97.80–$55.90).

    National Payer Mean Reimbursement Rates

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    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 42-year-old female with morbid obesity (body mass index 42 kg/m2) presents for an elective laparoscopic gastric banding procedure to restrict gastric volume and promote weight loss. Preoperative evaluation in the ambulatory surgical center includes medical history, focused airway exam, review of obstructive sleep apnea risk and cardiopulmonary status, medication reconciliation, and anesthetic planning. On the day of surgery the patient receives routine monitors, IV access, and general endotracheal anesthesia or laryngeal mask airway as determined by the anesthesiologist or CRNA. The anesthetic course includes induction, intraoperative management of ventilation and hemodynamics during pneumoperitoneum and Trendelenburg positioning, perioperative analgesia, antiemetic prophylaxis, and emergence with extubation in the operating room. Postanesthesia care includes monitoring for airway compromise, pain control, nausea management, and discharge criteria for ambulatory or short-stay recovery. Perioperative documentation includes anesthesia start/end times, airway device, ASA physical status, intraoperative events, fluids/transfusions, and postoperative instructions.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    47562Laparoscopy, surgical; cholecystectomyRepresents another common laparoscopic abdominal procedure that shares similar anesthesia considerations (laparoscopic pneumoperitoneum, positioning).

    Related Modifiers

    8 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…
    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…
    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…
    367H00000XAnesthesiologist AssistantAn individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants …
    367500000XCertified Registered Nurse Anesthetist(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, prov…
    261QR0800XRecovery Care Clinic/CenterAmbulatory Health Care Facilities · Clinic/Center
    202C00000XIndependent Medical Examiner PhysicianA special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practiti…
    163WP1700XPerinatal Registered NurseNursing Service Providers · Registered Nurse
    2278P3900XNeonatal/Pediatric Certified Respiratory TherapistThe care and treatment of premature infants, newborns and children. This includes management of mechanical ventilation, assessment, diagnostics and g…
    273100000XEpilepsy Hospital UnitAn Epilepsy Unit is a distinct unit of a hospital that provides services that may include observation, urgent care, diagnostic testing, treatment, and…

    Related ICD-10-CM Codes

    5 rows

    ICD-10-CM CodeDescription
    K40.90Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent
    K57.30Diverticulosis of large intestine without perforation or abscess without bleeding
    K63.5Polyp of colon
    K35.80Unspecified acute appendicitis
    K56.60

    Related Payer Policy Updates

    Specialty: Anesthesiology1 / 3

    9 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
    Mm_0579_Coveragepositioncriteria_Anesthesia_Services_Selected_Nerve_BlocksCigna2026-05-15
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric DisordersBlue Cross Blue Shield - North Carolina2026-04-01

    Related Codes

    CPT-00700-ANESTHESIA-UPPER-ANTERIOR-ABDOMINAL-WALL

    CPT 00700: Anesthesia for Upper Anterior Abdominal Wall Procedures

    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

    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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    44970
    Laparoscopy, surgical, appendectomy
    Example of laparoscopic abdominal surgery for acute appendicitis; similar perioperative anesthesia management and potential concurrent diagnosis code K35.80.
    49650Laparoscopy, surgical; repair initial inguinal herniaRepresentative minimally invasive hernia repair with comparable anesthetic techniques for short laparoscopic cases.
    44180Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion)May be performed when adhesions are encountered during laparoscopic bariatric surgery; can increase operative time and anesthetic complexity.
    44204Laparoscopy, surgical; colectomy, partial, with anastomosisMajor laparoscopic abdominal procedure that may occur in patients with colonic disease and requires extended anesthesia care and postoperative monitoring.