CPT 00812: Anesthesia for Screening Colonoscopy Below the Duodenum
CPT code 00812 captures anesthesia services for screening colonoscopy procedures in which the endoscope is advanced into the intestines below the duodenum. As an anesthesia-specific CPT code, it identifies the professional anesthetic care associated with lower gastrointestinal endoscopic procedures and is relevant for hospital outpatient departments, ambulatory surgical centers, and endoscopy suites nationwide. Accurate use of CPT code 00812 supports proper clinical documentation, billing, and national monitoring of anesthesia resource use tied to colorectal cancer screening and diagnostic endoscopy.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the clinical context for anesthesia during lower GI endoscopy and what to expect in claims for screening colonoscopy procedures. The publication summarizes common billing considerations, payer coverage patterns, and where CPT code 00812 fits within anesthesia service reporting. It also outlines benchmarks and policy-relevant details affecting reimbursement and compliance, and highlights clinical scenarios that typically generate use of this code.
This national summary is designed for billing managers, anesthesia providers, and policy analysts seeking concise guidance on the role and reporting of CPT code 00812 in routine screening colonoscopy care.
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Billing Code Overview
CPT code 00812 describes anesthesia services provided for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum. The service type is anesthesia for lower gastrointestinal endoscopic procedure. The typical site of service is an endoscopy suite or ambulatory surgical center, and the service may occur in an inpatient operating room when performed during an admission.
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