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    v1.0.28
    OpenPayerBilling CodesAnesthesia for Procedures on the Lower AbdomenCPT cpt-00830-lower-abdominal-hernia-anesthesia-unspecified
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    CPT 00830: Anesthesia for Lower Abdominal Hernia Repair, Unspecified

    Commercial payers pay $91 on average nationally for this procedure.

    CPT code 00830 describes anesthesia services provided for lower abdominal hernia repairs when the procedure is not specified by another anesthesia code; this typically refers to general or regional anesthesia administered in an operating room or ambulatory surgery setting for adult hernia repair procedures such as inguinal, femoral, umbilical, or ventral hernia 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 00830 cluster around BUCA’s average commercial rate of $91.30, with notable variation across major payers. Blue Cross Blue Shield (BCBS) and UnitedHealth Group show lower central tendencies ($75.00 mean and $67.90 mean, respectively) while Aetna and Cigna sit higher ($163.70 and $91.20 mean). BUCA’s $91.30 serves as a near-market average among these payers.

    Dispersion (P75 minus P25) highlights where rates are most and least consistent: Aetna has the widest interquartile spread at $130.00 ($224.20 − $92.00), indicating greater variability in contracted rates, while UnitedHealth Group is the tightest with a spread of $30.90 ($81.10 − $52.00). BCBS and Cigna show moderate dispersion at $39.60 and $40.60, respectively, and BUCA’s interquartile spread is $49.70 ($116.50 − $61.80).

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 54-year-old male presents to the ambulatory surgery center with a symptomatic unilateral inguinal hernia diagnosed on physical exam and ultrasound. The surgical team schedules an open or laparoscopic hernia repair under general anesthesia with possible regional adjuncts. Preoperative evaluation by the anesthesiologist includes review of medical history, medications, airway assessment, and ASA classification (commonly P1–P3 for elective hernia repair). On the day of surgery the anesthesia provider documents induction, airway management (endotracheal tube or supraglottic airway), intraoperative anesthetic course, fluids, analgesics, and emergence. The provider bills anesthesia services using 00830 for anesthesia for lower abdominal hernia repair procedures not specifically described by other anesthesia codes. Typical perioperative workflow includes pre-op evaluation, intraoperative monitoring and management, immediate postoperative handoff to PACU staff, and anesthesia record completion for billing and quality documentation. Common intraoperative considerations include management of comorbid conditions, multimodal analgesia, and coordination of surgical laterality for modifier reporting if bilateral procedures occur.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    00832

    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…
    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…
    95Modifier 95 indicates that a service was provided via synchronous, real‑time audio‑video telehealth rather than in‑person. Per CMS, AAPC and professional associations, append modifier 95 to claim…- Use modifier 95 to indicate a service was furnished via synchronous, real‑time audiovisual telehealth (a live audio‑video conference between patient and provider) rather than in‑person. - Pair…

    Related Provider Taxonomies

    8 rows

    Taxonomy CodeSpecialtyNotes
    207P00000XEmergency Medicine PhysicianAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospit…
    207SG0203XClinical Molecular Genetics PhysicianA clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of …
    364SH0200XHome Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
    292200000XDental LaboratoryA commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of…
    246QH0600XHistology Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers · Specialist/Technologist, Pathology
    152WL0500XLow Vision Rehabilitation OptometristOptometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and r…
    2084E0001XEpilepsy PhysicianEpilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory ep…
    253J00000XFoster Care AgencyA Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for childr…

    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-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-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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    Anesthesia for middle or incisional abdominal hernia repair
    Alternative anesthesia code used when the hernia repair is middle or incisional abdominal rather than lower abdominal.
    00834Anesthesia for lower abdominal hernia repair, child younger than 1 year of agePediatric-specific anesthesia code for infants; use instead of 00830 for patients under 1 year.