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    v1.0.28
    OpenPayerBilling CodesAnesthesia for Procedures on the Lower AbdomenCPT cpt-00846-radical-hysterectomy-anesthesia
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    CPT 00846: Anesthesia for Radical Hysterectomy

    Commercial payers pay $79 on average nationally for this procedure.

    CPT code 00846 describes anesthesia services provided for a patient undergoing a radical hysterectomy, a major intraperitoneal pelvic procedure in which the uterus and surrounding structures are removed; typical service type is general anesthesia for major pelvic surgery and the typical site of service is an operating room for inpatient or outpatient surgical care.

    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 00846 centers around BUCA’s average commercial rate of $78.6, which serves as an overall market midpoint. Blue Cross Blue Shield average activity shows a relatively narrow interquartile spread (P75–P25 = $40.8), while Cigna’s interquartile spread is wider at $52.2 and Aetna is the widest at $88.5; UnitedHealth Group’s spread sits in between at $27.6. These spreads indicate meaningful variation in contract pricing across payers even when mean rates are similar.

    Examining payer-level medians and means highlights positioning differences: Blue Cross Blue Shield and UnitedHealth Group cluster near the BUCA average, while Cigna and Aetna have higher central tendencies and broader upper tails. The largest dispersion for Aetna suggests the most variability in negotiated upper-tier payments, whereas UnitedHealth Group’s tighter IQR points to more consistent commercial rates around its median.

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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 abnormal uterine bleeding and a pelvic mass suspicious for malignancy. Preoperative imaging and biopsy suggest invasive cervical or uterine cancer requiring radical hysterectomy with removal of the uterus, parametria, and upper vagina. The patient has a history of hypertension and controlled type 2 diabetes. She is evaluated preoperatively by the anesthesia team (physician anesthesiologist or certified registered nurse anesthetist) with ASA physical status P3 due to systemic disease. On the day of surgery, the patient undergoes standard perioperative preparation: IV access, multimodal monitoring, and informed anesthesia consent. General endotracheal anesthesia is induced for an open radical hysterectomy with possible pelvic lymph node dissection and anticipated moderate-to-large blood loss; invasive arterial monitoring is placed. Anesthesia management includes induction agents, endotracheal intubation, maintenance with volatile anesthetic or total intravenous anesthesia, hemodynamic support, and postoperative pain planning (epidural or multimodal IV analgesia). The anesthesia service is reported with code 00846 for intraperitoneal lower abdominal major surgery (radical hysterectomy). Postoperative handoff includes blood loss, fluid balance, hemodynamics, and recommendations for ICU or PACU monitoring as indicated by intraoperative course (for example, significant hemorrhage or intra-abdominal contamination from peritonitis).

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure

    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…
    25CPT modifier 25 indicates that on the same day as another procedure or service, the same physician or other qualified health care professional provided a significant, separately identifiable…- When to apply: Use modifier 25 only on an E/M code to indicate the same provider delivered a significant, separately identifiable E/M service on the same day as another procedure or service — i.e.,…
    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…
    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
    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…
    208800000XUrology PhysicianA urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has compreh…
    332900000XNon-Pharmacy Dispensing SiteA site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. phy…
    2084P2900XPain Medicine (Psychiatry & Neurology) PhysicianA neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experie…
    2251E1300XClinical Electrophysiology Physical TherapistA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical …
    311Z00000XCustodial Care FacilityA facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of …

    Related ICD-10-CM Codes

    28 rows

    ICD-10-CM CodeDescription
    C53.0Malignant neoplasm of endocervix
    C53.1Malignant neoplasm of exocervix
    C53.9Malignant neoplasm of cervix uteri, unspecified
    C54.1Malignant neoplasm of endometrium
    C54.2Malignant neoplasm of myometrium
    C54.9Malignant neoplasm of corpus uteri, unspecified
    C56.9Malignant neoplasm of unspecified ovary
    C57.3Malignant neoplasm of parametrium
    C57.4Malignant neoplasm of uterine adnexa, unspecified
    C79.82Secondary malignant neoplasm of genital organs

    Showing 1–10 of 28

    Related Payer Policy Updates

    Specialty: Anesthesiology1 / 3

    9 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
    Mm_0579_Coveragepositioncriteria_Anesthesia_Services_Selected_Nerve_BlocksCigna2026-05-15
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric DisordersBlue Cross Blue Shield - North Carolina2026-04-01

    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-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

    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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    00840
    Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specified
    Applicable to other lower intraperitoneal abdominal procedures; may be used when the surgical procedure differs from radical hysterectomy but involves lower intraperitoneal work.
    00844Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; abdominoperineal resectionRelated major lower abdominal/pelvic procedure; similar anesthetic considerations and potential alternative code for different oncologic resections.
    00848Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; pelvic exenterationRepresents a more extensive pelvic resection; related when surgical extent is greater than radical hysterectomy and anesthesia complexity increases.
    00851Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/transectionRepresents a less extensive pelvic procedure; included for workflow comparison when scope of surgery is limited compared with radical hysterectomy.