CPT 00810: Anesthesia for Lower Intestinal Endoscopic Procedures

Commercial payers pay $384 on average nationally for this procedure.

CPT code 00810 describes anesthesia for lower intestinal endoscopic procedures where the endoscope is introduced distal to the duodenum, indicating anesthesia services for colonoscopic and other lower gastrointestinal endoscopic interventions; service type: anesthesia for lower intestinal endoscopy; typical site of service: endoscopy suite or ambulatory surgical center.

Customize your policy alerts

Sign up for cpt 00810 policy alerts

Get alerted when payer policies referencing 00810 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

National Reimbursement Benchmarks

For CPT 00810 the BUCA average commercial benchmark sits at $383.70, representing a centralized commercial reference point for comparison. Blue Cross Blue Shield displays a wider spread of allowed amounts across the market: its interquartile dispersion (P75 minus P25) is $65.20, while BUCA’s interquartile dispersion is $65.20 as well, indicating identical IQRs for the aggregate commercial distribution and the specific Blue Cross Blue Shield sample. Blue Cross Blue Shield also shows the highest observed maximum at $835.10 and a minimum of $290.80, highlighting notable upside variation not present in BUCA’s published statistics.

The identical P75–P25 of $65.20 for both BUCA and Blue Cross Blue Shield suggests similar central clustering even though Blue Cross Blue Shield has greater extreme-value spread (max vs min). This means median-centered comparisons between the average commercial benchmark and Blue Cross Blue Shield will be close, while Blue Cross Blue Shield carries more tail volatility above the upper quartile.

National Payer Mean Reimbursement Rates

State Reimbursement Rates

State: Alaska1 / 51

Rate by payer

Clinical & Coding Specifications

Clinical Context

A 62-year-old male presents to the endoscopy suite for a planned diagnostic and possible therapeutic lower intestinal endoscopic procedure. Indications include intermittent rectal bleeding and a positive fecal immunochemical test during colorectal cancer screening, with antecedent symptoms of altered bowel habits and intermittent diarrhea. The patient has a history of hypertension and is on a beta blocker; preoperative evaluation by anesthesia includes review of medications, fasting status, airway assessment, and ASA classification. Anesthesia services coded with 00810 are provided because the endoscope is introduced distal to the duodenum (colonoscopy). The anesthesia team (an anesthesiologist or CRNA) administers general endotracheal anesthesia or deep sedation as clinically indicated, manages airway and hemodynamics, and remains for induction, maintenance, and emergence. Intra-procedure, the gastroenterologist performs a diagnostic colonoscopy (45378) and may perform biopsy (45380) or polypectomy (45385) if lesions are found. If moderate sedation is provided by the gastroenterology team rather than the anesthesia team, documentation supports billing of sedation codes such as 99152 when applicable. Post-procedure, the patient is transferred to recovery with anesthesia handoff, monitored until discharge criteria are met, and given post-anesthesia instructions and follow-up as indicated.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure

Related Modifiers

6 rows

Modifier	Description	When to Use
22	Modifier –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…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
76	Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…	- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
77	Modifier 77 indicates that a previously performed procedure or service was legitimately repeated by a different physician or other qualified health care professional. The AMA’s CPT definition…	- Use modifier 77 when a basic procedure or service already performed is repeated by a different physician or other qualified health care professional (for example, a second provider independently…
78	CPT 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…
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
367500000X	Certified Registered Nurse Anesthetist	(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, prov…
207RG0100X	Gastroenterology Physician	An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This…
163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	Nursing Service Providers · Registered Nurse
314000000X	Skilled Nursing Facility	(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and …
204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and…
163WP1700X	Perinatal Registered Nurse	Nursing Service Providers · Registered Nurse
3336H0001X	Home Infusion Therapy Pharmacy	Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients wi…

Related ICD-10-CM Codes

31 rows

ICD-10-CM Code	Description
C18.9	Malignant neoplasm of colon, unspecified
C20	Malignant neoplasm of rectum
K29.70	Gastritis, unspecified, without bleeding
K31.7	Polyp of stomach and duodenum
K50.90	Crohn's disease, unspecified, without complications
K51.90	Ulcerative colitis, unspecified, without complications
K52.9	Noninfective gastroenteritis and colitis, unspecified
K55.9	Vascular disorder of intestine, unspecified
K57.00	Diverticulitis of small intestine with perforation and abscess without bleeding
K57.10	Diverticulosis of small intestine without perforation or abscess without bleeding

Showing 1–10 of 31

Frequently Asked Questions

References

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.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.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.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

State Reimbursement Rates

State: Alaska1 / 51

Rate by payer

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure

Related Modifiers

6 rows

Modifier	Description	When to Use
22	Modifier –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…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
76	Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…	- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
77	Modifier 77 indicates that a previously performed procedure or service was legitimately repeated by a different physician or other qualified health care professional. The AMA’s CPT definition…	- Use modifier 77 when a basic procedure or service already performed is repeated by a different physician or other qualified health care professional (for example, a second provider independently…
78	CPT 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…
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
367500000X	Certified Registered Nurse Anesthetist	(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, prov…
207RG0100X	Gastroenterology Physician	An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This…
163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	Nursing Service Providers · Registered Nurse
314000000X	Skilled Nursing Facility	(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and …
204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and…
163WP1700X	Perinatal Registered Nurse	Nursing Service Providers · Registered Nurse
3336H0001X	Home Infusion Therapy Pharmacy	Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients wi…

Related ICD-10-CM Codes

31 rows

ICD-10-CM Code	Description
C18.9	Malignant neoplasm of colon, unspecified
C20	Malignant neoplasm of rectum
K29.70	Gastritis, unspecified, without bleeding
K31.7	Polyp of stomach and duodenum
K50.90	Crohn's disease, unspecified, without complications
K51.90	Ulcerative colitis, unspecified, without complications
K52.9	Noninfective gastroenteritis and colitis, unspecified
K55.9	Vascular disorder of intestine, unspecified
K57.00	Diverticulitis of small intestine with perforation and abscess without bleeding
K57.10	Diverticulosis of small intestine without perforation or abscess without bleeding

Showing 1–10 of 31

Frequently Asked Questions

References

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.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.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.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

`45378`	Colonoscopy, flexible, proximal to splenic flexure; diagnostic	Common diagnostic procedure for which anesthesia `00810` is billed when deep sedation or general anesthesia is provided and the endoscope is introduced distal to the duodenum.
`45380`	Colonoscopy with biopsy, single or multiple	Performed during the same session if lesions are visualized; anesthesia services support patient comfort and airway management during biopsy.
`45385`	Colonoscopy with removal of tumor(s), polyp(s), or other lesion(s) by snare technique	Therapeutic colonoscopic polypectomy frequently accompanies diagnostic colonoscopy; anesthesia facilitates patient immobility and safety during polypectomy.
`99152`	Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service	Used when moderate sedation is provided by the proceduralist rather than anesthesia provider; documents moderate (conscious) sedation distinct from general anesthesia services billed with `00810`.

CPT 00810: Anesthesia for Lower Intestinal Endoscopic Procedures

Sign up for cpt 00810 policy alerts

National Reimbursement Benchmarks

CPT 00810: Anesthesia for Lower Intestinal Endoscopic Procedures

Sign up for cpt 00810 policy alerts

National Reimbursement Benchmarks

State Reimbursement Rates

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

When should CPT 00810 be billed for an endoscopic procedure?

How does billing differ when the proceduralist provides moderate sedation versus when an anesthesia team provides anesthesia?

Which colonoscopy CPT codes commonly accompany anesthesia coded with 00810?

What clinical indications in the page context commonly lead to use of anesthesia billed with 00810?

Where is CPT 00810 typically performed and what perioperative documentation is described?

References

State Reimbursement Rates

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

When should CPT 00810 be billed for an endoscopic procedure?

How does billing differ when the proceduralist provides moderate sedation versus when an anesthesia team provides anesthesia?

Which colonoscopy CPT codes commonly accompany anesthesia coded with 00810?

What clinical indications in the page context commonly lead to use of anesthesia billed with 00810?

Where is CPT 00810 typically performed and what perioperative documentation is described?

References