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    OpenPayerBilling CodesAnesthesia for Procedures on the Lower AbdomenCPT cpt-00802-panniculectomy-lower-anterior-abdominal-wall-anesthesia
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    CPT 00802: Anesthesia for Panniculectomy, Lower Anterior Abdominal Wall

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

    CPT code 00802 describes anesthesia services provided for a panniculectomy on the lower anterior abdominal wall, where the surgical team excises excess fat and skin (a pannus) via an incision below the navel; service type: anesthesia for panniculectomy; typical site of service: operating room or ambulatory surgical center for lower anterior abdominal wall 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 reimbursement for CPT 00802 centers around BUCA’s average commercial rate of $81.70, with individual payers spanning both higher and lower medians. Blue Cross Blue Shield’s median is $63.40 while Aetna and Cigna show higher medians at $89.70 and $86.00 respectively; UnitedHealth Group’s median is $64.00. Aetna has the highest mean ($115.00) and the largest absolute upper bound ($422.90), while UnitedHealth Group and Blue Cross Blue Shield sit lower on both mean and max values.

    Dispersion measured by the interquartile difference (P75 minus P25) highlights variation: Aetna’s IQR is $99.00, Cigna’s is $58.00, BUCA’s is $51.80, Blue Cross Blue Shield’s is $36.20, and UnitedHealth Group’s is $28.90. This indicates Aetna exhibits the widest payer-level spread and UnitedHealth Group the tightest, with BUCA positioned near the middle of the spread distribution.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 52-year-old female presents with a symptomatic pannus causing recurrent skin irritation, intertrigo, and difficulty with hygiene following massive weight loss. Preoperative evaluation documents stable hypertension and BMI 36. The surgical plan is a panniculectomy with excision of excess lower anterior abdominal wall skin and subcutaneous fat via a transverse incision below the umbilicus. Anesthesia services are provided for induction, maintenance, intraoperative monitoring, and emergence. Typical perioperative workflow: preoperative evaluation by the anesthesia team (airway assessment, ASA classification, review of comorbidities), informed consents, general endotracheal anesthesia with neuromuscular blockade and noninvasive monitoring, intraoperative management of hemodynamics and fluids during panniculectomy, communication with the surgical team for emergent events (e.g., unexpected bowel injury or hemoperitoneum), and immediate postoperative handoff to PACU nursing for recovery and pain control. Typical site of service is an ambulatory surgery center or hospital operating room. Typical patient scenario may include concurrent intra-abdominal pathology identified pre- or intraoperatively (for example diverticulosis or colonic polyp workup) requiring coordination with general surgery and potential conversion to additional procedures.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    49320Laparoscopy, surgical; with biopsyMay be performed if intra-abdominal evaluation or biopsy is indicated during the same operative session prior to or concurrent with panniculectomy.

    Related Modifiers

    9 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…
    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…
    207LA0401XAddiction Medicine (Anesthesiology) PhysicianAn anesthesiologist who specializes in the diagnosis and treatment of addictions.
    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…
    103TC2200XClinical Child & Adolescent PsychologistA psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents …
    322D00000XEmotionally Disturbed Childrens' Residential Treatment FacilityA residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral i…
    243U00000XRadiology Practitioner AssistantA Radiology Practitioner Assistant (RPA) is a health professional certified as a registered radiographer with the American Registry of Radiologic Tech…
    207SM0001XMolecular Genetic Pathology (Medical Genetics) PhysicianA board certified subspecialty, the molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecu…
    2085R0204XVascular & Interventional Radiology PhysicianA radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tom…

    Related ICD-10-CM Codes

    30 rows

    ICD-10-CM CodeDescription
    E10.9Type 1 diabetes mellitus without complications
    E11.9Type 2 diabetes mellitus without complications
    E66.01Morbid (severe) obesity due to excess calories
    E66.9Obesity, unspecified
    F41.9Anxiety disorder, unspecified
    F45.41Pain disorder exclusively related to psychological factors
    I87.2Venous insufficiency (chronic) (peripheral)
    K56.60
    K57.30Diverticulosis of large intestine without perforation or abscess without bleeding
    K63.5Polyp of colon

    Showing 1–10 of 30

    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-00800-LOWER-ANTERIOR-ABDOMINAL-WALL-ANESTHESIA

    CPT 00800: Anesthesia for Lower Anterior Abdominal Wall Procedures

    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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    00800Anesthesia for procedures on lower anterior abdominal wallAlternative anesthesia code for lower anterior abdominal wall procedures; 00802 is a specific code in the same family for panniculectomy on the lower anterior abdominal wall.
    00810Anesthesia for lower intestinal endoscopic proceduresRelevant if concomitant lower intestinal endoscopic procedures occur during the same anesthetic.
    99100Anesthesia for patient of extreme age, under 1 year and over 70Use in addition to the primary anesthesia code for patients meeting age criteria to reflect increased risk or complexity.