Summary & Overview
CPT 00902: Anesthesia for Procedures on Anus or Rectum
CPT code 00902 represents anesthesia services furnished for procedures on the anus or rectum. This anesthesia code is used to report professional perioperative care when a licensed anesthesia provider delivers anesthetic management specific to anorectal surgical or procedural interventions. Nationally, accurate use of this code supports correct clinical documentation, claims processing, and healthcare utilization tracking for anorectal procedures that require anesthesia.
Key payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, United Healthcare, and Medicare. Readers will find an overview of the clinical context for CPT code 00902, comparisons to closely related anesthesia codes for nearby anatomic regions, and the typical settings where the service is provided. The publication also outlines common billing considerations and coding relationships to help financial and clinical teams align documentation with claims submissions.
This summary is intended for a national audience of clinicians, coding professionals, and revenue cycle staff seeking concise guidance on the clinical scope and billing context of CPT code 00902. Data not available in the input for payer-specific reimbursement rates or utilization benchmarks.
Billing Code Overview
CPT code 00902 describes anesthesia services for procedures involving the anus or rectum. The service type is anesthesia provided in support of diagnostic or therapeutic procedures directed at the anorectal region. The typical site of service is the operating room or procedure suite where anorectal surgeries and interventions are performed.
Clinical & Coding Specifications
Clinical Context
A typical patient is a woman in her 50s presenting for operative management of symptomatic pelvic organ prolapse with rectovaginal or vaginal enterocele component. The planned procedure may include posterior colporrhaphy, rectocele repair, enterocele repair, or revision surgery for postprocedural genitourinary complications. The anesthesia team provides neuraxial (spinal or epidural) or general anesthesia depending on patient comorbidities, surgical duration, and surgeon preference. Preoperative assessment documents ASA physical status, airway assessment, anticoagulation status, and consent for anesthesia. Intraoperative workflow includes placement of monitors, IV access, induction (or neuraxial block), positioning in lithotomy, management of analgesia and hemodynamics during dissection and repair of anorectal/vaginal tissues, and postoperative handoff to PACU with pain and complication plan. Typical postoperative considerations include monitoring for urinary retention, bleeding, bowel function, and hemodynamic stability prior to discharge or transfer to inpatient care.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when anesthesia care is unusually difficult or time-consuming due to extensive intraoperative complexity beyond typical rectal/anal procedures. |
23 |