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    v1.0.28
    OpenPayerBilling CodesAnesthesia for Procedures on the Lower AbdomenCPT cpt-00800-lower-anterior-abdominal-wall-anesthesia
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    CPT 00800: Anesthesia for Lower Anterior Abdominal Wall Procedures

    Commercial payers pay $82 on average nationally for this procedure.

    CPT code 00800 describes anesthesia services for procedures on the lower anterior abdominal wall, covering anesthetic management when no other more specific anesthesia code applies; the service type is anesthesia for lower anterior abdominal procedures, typically provided in operating room or ambulatory surgical center settings for procedures such as appendectomy, hernia repair, or gynecologic adnexal surgery.

    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 rates for CPT 00800 cluster around the BUCA average commercial of $81.9, with notable variation across individual payers. Blue Cross Blue Shield centers near that level ($75.1 mean) while Cigna ($91.2 mean) and Aetna ($107.1 mean) sit higher; UnitedHealth Group is lower ($67.9 mean). This positions BUCA as a useful midpoint for comparison without implying extremes.

    Dispersion (P75 minus P25) highlights where rates are tight versus wide: Aetna’s spread is $91.5 (P75 $136.6 minus P25 $45.0), the widest, followed by Cigna at $40.6 (P75 $107.6 minus P25 $67.0). Blue Cross Blue Shield’s spread is $38.0 (P75 $95.5 minus P25 $53.7). UnitedHealth Group is the tightest at $30.9 (P75 $81.1 minus P25 $52.0), indicating comparatively concentrated commercial pricing.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 34-year-old female presents to the emergency department with right lower quadrant abdominal pain, nausea, and low-grade fever. Clinical evaluation and imaging suggest acute appendicitis (K35.80) and a concurrent reducible right-sided inguinal hernia (K40.90) is noted on exam. The surgical team schedules an urgent laparoscopic appendectomy with possible concurrent hernia repair under general anesthesia. The anesthesiology team evaluates the patient preoperatively, documents ASA classification (P2), reviews airway and comorbidities, and obtains informed consent for general endotracheal anesthesia. On the day of surgery the anesthesiologist provides induction, maintenance, monitoring, intraoperative fluid and hemodynamic management, and immediate postoperative emergence and handoff to PACU nursing staff. For procedures on the lower anterior abdominal wall that are not specifically described by other anesthesia codes, anesthesia services are reported with 00800 to capture the anesthetic care for these abdominal and pelvic operations. Typical workflow includes pre-anesthesia assessment, intraoperative anesthesia management coordinated with the surgical team, and postoperative anesthesia-related recovery and documentation in the anesthesia record.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure

    Related Modifiers

    7 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…
    50Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
    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…
    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…
    367500000XCertified Registered Nurse Anesthetist(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, prov…
    207LP2900XPain Medicine (Anesthesiology) PhysicianAn anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chr…
    152WX0102XOccupational Vision OptometristOptometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision,…
    261QA0900XAmputee Clinic/CenterAn entity, facility, or distinct part of a facility providing counseling, fitting, custom design, prescriptive, and training services related to conge…
    111NS0005XSports Physician ChiropractorA sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. …
    174400000XSpecialistAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond…
    246X00000XCardiovascular Specialist/TechnologistAn allied health professional who performs diagnostic examinations at the request or direction of a physician in one or more of the following three ar…

    Related ICD-10-CM Codes

    24 rows

    ICD-10-CM CodeDescription
    C18.9Malignant neoplasm of colon, unspecified
    C49.9Malignant neoplasm of connective and soft tissue, unspecified
    D12.6Benign neoplasm of colon, unspecified
    D48.5Neoplasm of uncertain behavior of skin
    K35.80Unspecified acute appendicitis
    K36Other appendicitis
    K40.20Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent
    K40.30Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent
    K40.90Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent
    K42.9Umbilical hernia without obstruction or gangrene

    Showing 1–10 of 24

    Related Payer Policy Updates

    Specialty: Anesthesiology1 / 3

    7 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

    Related Codes

    CPT-00802-PANNICULECTOMY-LOWER-ANTERIOR-ABDOMINAL-WALL-ANESTHESIA

    CPT 00802: Anesthesia for Panniculectomy, Lower Anterior Abdominal Wall

    CPT-00811-ANESTHESIA-LOWER-INTESTINAL-ENDOSCOPY

    CPT 00811: Anesthesia for Lower Intestinal Endoscopic Procedure Pre-Duodenal

    CPT-00812-ANESTHESIA-COLONOSCOPY-BELOW-DUODENUM

    CPT 00812: Anesthesia for Colonoscopy Accessing Intestines Below Duodenum

    CPT-00813-ANESTHESIA-COMBINED-UPPER-LOWER-INTESTINAL-ENDOSCOPY

    CPT 00813: Anesthesia for Combined Upper and Lower Intestinal Endoscopy

    CPT-00820-ANESTHESIA-LOWER-POSTERIOR-ABDOMINAL-WALL-PROCEDURES

    CPT 00820: Anesthesia for Lower Posterior Abdominal Wall Procedures

    CPT-00830-LOWER-ABDOMINAL-HERNIA-ANESTHESIA-UNSPECIFIED

    CPT 00830: Anesthesia for Lower Abdominal Hernia Repair, Unspecified

    CPT-00832-ANESTHESIA-LOWER-ABDOMEN-HERNIA-REPAIR

    CPT 00832: Anesthesia for Lower Abdominal Hernia Repair

    CPT-00834-INFANT-LOWER-ABDOMEN-HERNIA-ANESTHESIA

    CPT 00834: Anesthesia for Infant Lower Abdominal Hernia Repair

    CPT-00836-ANESTHESIA-INFANT-LOWER-ABDOMINAL-HERNIA-REPAIR

    CPT 00836: Anesthesia for Infant Lower Abdomen Hernia Repair

    CPT-00840-LOWER-ABDOMEN-INTRAPERITONEAL-ANESTHESIA-LAPAROSCOPY

    CPT 00840: Anesthesia for Lower Abdominal Intraperitoneal Procedures

    Showing 1–10 of 26

    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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    49505
    Repair initial inguinal hernia, age 5 years or older; reducible
    May be the primary surgical procedure for a patient with K40.90; anesthesia 00800 would cover anesthetic care when hernia repair involves lower anterior abdominal wall.
    44950AppendectomyCommon concurrent intra-abdominal procedure for K35.80; anesthetic services for appendectomy on the lower abdominal wall region are reportable with 00800 when no more specific anesthesia code applies.
    58661Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)Relevant when gynecologic pathology such as N83.20 is addressed laparoscopically; anesthesia for lower anterior abdominal/pelvic procedures may be billed with 00800.
    49585Repair umbilical hernia, age 5 years or older; reducibleApplicable when K42.9 or K43.9 describes the surgical indication; anesthesia code 00800 applies to anesthetic management for umbilical or ventral hernia repair when no more specific code is used.