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    v1.0.28
    OpenPayerBilling CodesAnesthesia for Procedures on the Lower AbdomenCPT cpt-00832-anesthesia-lower-abdomen-hernia-repair
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    CPT 00832: Anesthesia for Lower Abdominal Hernia Repair

    Commercial payers pay $81 on average nationally for this procedure.

    CPT code 00832 describes anesthesia services provided for patients older than 1 year undergoing hernia repairs of the lower abdomen (such as ventral and incisional hernias); the service is surgical anesthesia care typically delivered in an operating room or ambulatory surgical center and includes perioperative management related to the hernia repair procedure.

    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

    Commercial reimbursements for CPT 00832 cluster around the BUCA average commercial rate of $80.70, with individual payers showing meaningful spread. Blue Cross Blue Shield has a relatively tight middle range (P25–P75 = $33.60), and UnitedHealth Group is also constrained (P75–P25 = $27.80). Cigna and BUCA present moderate dispersion (Cigna P75–P25 = $37.40; BUCA P75–P25 = $49.00). Aetna exhibits the widest middle spread (P75–P25 = $114.20), indicating greater variability in negotiated commercial rates compared with peers.

    Looking at central tendencies, payer medians cluster between roughly $61 and $96, with Blue Cross Blue Shield median at $61.20, UnitedHealth Group at $64.00, Cigna at $81.00, BUCA at $70.80, and Aetna at $96.30. The combination of Aetna’s broad dispersion and higher median contrasts with Blue Cross Blue Shield and UnitedHealth Group’s narrower bands, signaling different contracting dynamics across carriers.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 58-year-old male presents for elective repair of a symptomatic incisional ventral hernia located in the lower abdomen. Preoperative evaluation documents prior abdominal surgery, intermittent cramping, and occasional localized pain at the hernia site. The patient has a history of controlled hypertension and is classified as ASA II. The surgical team plans an open or laparoscopic repair under general anesthesia with endotracheal intubation and standard intraoperative monitoring. Anesthesia services include preoperative evaluation, induction, maintenance, emergence, and immediate postoperative management in the PACU. Typical workflow: pre-op assessment and airway evaluation; induction of general anesthesia in the OR; intraoperative management including analgesia, muscle relaxation, and hemodynamic support during hernia repair; potential conversion of laparoscopic to open approach if needed; emergence and handoff to PACU staff. If a neuraxial or regional block is added for postoperative analgesia, that is billed separately. The procedure applies to patients older than 1 year undergoing lower abdominal hernia repairs such as ventral or incisional hernias and corresponds to anesthesia code 00832.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    45378Colonoscopy, flexible, proximal to splenic flexure; diagnosticMay be performed in the same operative session for colorectal evaluation when abdominal pathology is suspected; requires separate procedural coding and appropriate sedation/anesthesia documentation.

    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…
    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…
    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…
    207RA0401XAddiction Medicine (Internal Medicine) PhysicianAn internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified b…
    261QH0100XHealth Service Clinic/CenterAmbulatory Health Care Facilities · Clinic/Center
    246QL0901XDiplomate Laboratory Management Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers · Specialist/Technologist, Pathology
    2081N0008XNeuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianA physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these diso…
    174V00000XClinical EthicistA clinical ethicist has been trained in bioethics and ethics case consultation. The clinical ethicist addresses medical-ethical dilemmas arising in c…
    2471R0002XRadiation Therapy Radiologic TechnologistA radiologic technologist who specializes in radiation therapy and is appropriately educated and trained, consistent with nationally recognized standa…

    Related ICD-10-CM Codes

    5 rows

    ICD-10-CM CodeDescription
    K52.9Noninfective gastroenteritis and colitis, unspecified
    Z12.11Encounter for screening for malignant neoplasm of colon
    K63.5Polyp of colon
    K92.2Gastrointestinal hemorrhage, unspecified
    R19.7Diarrhea, unspecified

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

    CPT 00830: Anesthesia for Lower Abdominal Hernia Repair, Unspecified

    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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    45380Colonoscopy with biopsy, single or multipleDiagnostic adjunct when tissue sampling is indicated during colonoscopy performed in conjunction with abdominal surgery or evaluation.
    45385Colonoscopy with removal of tumor(s), polyp(s), or other lesion(s) by snare techniqueTherapeutic colonoscopic procedure for polyp removal that may occur in the same perioperative period; billed separately from anesthesia 00832.
    99152Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic serviceUse when moderate (conscious) sedation is provided by the proceduralist for endoscopic procedures; distinct from general anesthesia services reported with 00832.