CPT 00882: Anesthesia for Major Lower Abdominal Vascular Procedures - OpenPayer

Summary & Overview

CPT 00882: Anesthesia for Major Lower Abdominal Vascular Procedures

CPT code 00882 represents anesthesia services provided for major lower abdominal vascular procedures, such as inferior vena cava ligation. This code captures perioperative anesthesia care tied to complex vascular surgery of the lower abdomen and is important for accurately classifying resource use, billing, and clinical reporting for high-acuity procedures. Nationally, correct use of this code affects claims processing, provider reimbursement, and aggregate procedural utilization reporting for vascular and anesthesia services.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for 00882, guidance on typical billing considerations tied to anesthesia for major lower abdominal vascular surgery, and comparisons to related anesthesia codes used for lower abdominal procedures. The publication summarizes common clinical scenarios that map to this code, expected sites of service, and how 00882 relates to adjacent anesthesia codes used for lower abdominal procedures.

This national-level summary is intended for billing professionals, anesthesia providers, and health policy analysts seeking a clear, clinical-focused explanation of CPT code 00882 and its role in coding and reporting for major lower abdominal vascular surgery.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicare00882CPTAnesthesiaVascular SurgeryLower Abdominal ProceduresOperating RoomAnesthesia BillingPerioperative Care

Billing Code Overview

CPT code 00882 describes anesthesia services for procedures on major lower abdominal vessels, including procedures such as inferior vena cava ligation. The service type is anesthesia for major vascular surgery of the lower abdomen, and the typical site of service is an operating room or other procedural suite where major abdominal vascular surgery is performed.

Clinical & Coding Specifications

Clinical Context

A 64-year-old male with known benign prostatic hyperplasia and recurrent nephrolithiasis presents with flank pain, gross hematuria, fever, and imaging showing hydronephrosis with a large obstructing renal calculus and evidence of infected urine. Interventional vascular surgery plans an open repair of a major lower abdominal venous injury encountered during attempted retroperitoneal exploration and inferior vena cava control with possible ligation. The anesthesia team provides general endotracheal anesthesia with invasive monitoring (arterial line, central venous access) and prepares for potential massive transfusion. The perioperative workflow includes preoperative evaluation and optimization, intraoperative management of hemodynamics and blood loss, provision of ventilatory support and neuromuscular blockade, postoperative transfer to ICU for ongoing hemodynamic monitoring, and documentation of anesthesia start/stop times and services rendered under 00882 for anesthesia for procedures on major lower abdominal vessels including inferior vena cava ligation.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when anesthesia required substantially greater effort or complexity than typical for `00882` (document justification).

Related Codes

00830

CPT 00830: Anesthesia for Lower Abdominal Hernia Repair

00754

CPT 00754: Anesthesia for Shoulder and Axilla Procedures

cpt-00790-anesthesia-upper-abdominal-intraperitoneal-procedures

CPT 00790: Anesthesia for Upper Abdominal Intraperitoneal Procedures

00702

CPT 00702: Anesthesia for Upper Anterior Abdominal Wall Procedures

cpt-00834-infant-lower-abdomen-hernia-anesthesia

CPT 00834: Anesthesia for Infant Lower Abdominal Hernia Repair

cpt-00864-extraperitoneal-lower-abdomen-anesthesia-total-cystectomy

CPT 00864: Anesthesia for Extraperitoneal Lower Abdominal Procedure, Total Cystectomy

cpt-00797-anesthesia-gastric-restrictive-procedure-morbid-obesity

CPT 00797: Anesthesia for Gastric Restrictive Procedure for Morbid Obesity

cpt-00870-bladder-stone-removal-anesthesia

CPT 00870: Anesthesia for Removal of Bladder Stone

00836

CPT 00836: Anesthesia for Lower Abdominal Hernia Repair in Preterm Infants

cpt-00820-anesthesia-lower-posterior-abdominal-wall-procedures

CPT 00820: Anesthesia for Lower Posterior Abdominal Wall Procedures

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Taxonomy Code	Specialty	Notes
`207L00000X`	Anesthesiology	Physician anesthesiologists typically provide or direct anesthesia services for major lower abdominal vascular procedures.
`367500000X`	Certified Registered Nurse Anesthetist	CRNAs commonly deliver anesthesia care for vascular and abdominal procedures and may be supervised or directed.
`207RA0401X`	Anesthesiology Assistant	Anesthesiology assistants may provide care under physician supervision in settings where permitted.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`N20.0`	Calculus of kidney	Renal calculi can cause obstruction and infection leading to complex retroperitoneal surgery during which major vessel control (`00882`) may be required if vascular injury occurs.
`N39.0`	Urinary tract infection, site not specified	Active infection increases perioperative risk; patients may present for interventions where significant bleeding or vascular control becomes necessary.
`N13.2`	Hydronephrosis with renal and ureteral calculous obstruction	Obstructing stone with hydronephrosis may prompt surgical exploration; difficult dissections can involve major lower abdominal vessels.
`N40.1`	Benign prostatic hyperplasia with lower urinary tract symptoms	BPH may be a comorbidity in older males undergoing urologic procedures where access challenges could necessitate vascular control.
`R31.9`	Hematuria, unspecified	Gross hematuria may be the presenting sign of urinary tract stones or trauma; significant bleeding may require vascular surgical management and anesthesia under `00882`.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`00880`	Anesthesia for procedures on the lower abdomen	Closely related; `00880` covers anesthesia for lower abdominal procedures without specific major lower abdominal vessel focus and may be reported when the procedure does not involve major vessels described by `00882`.