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    v1.0.28
    OpenPayerBilling CodesAnesthesia for Procedures on the PerineumCPT cpt-00906-anesthesia-for-vulvectomy
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    CPT 00906: Anesthesia for Vulvectomy

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

    CPT code 00906 describes anesthesia services provided for a patient undergoing vulvectomy (excision of external female genitalia), typically delivered as general or regional anesthesia in an operating room or surgical suite for a planned surgical procedure on the vulva; this code is used by anesthesiology clinicians to document the anesthesia care associated with the surgical excision.

    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

    BUCA (average commercial) sits near the center of the commercial distribution for CPT 00906 with a mean of $80.6 and a median of $71.5. Among named payers, Cigna posts the highest mean at $99.7 and Aetna the highest single maximum at $289.5, reflecting outliers at the top end; UnitedHealth Group has the lowest mean at $68.0. Blue Cross Blue Shield (BCBS) and Aetna show comparable medians around $67.5–$74.3, while Cigna’s median of $88 signals generally higher common payments.

    Examining dispersion (P75 minus P25) highlights variability differences: Aetna’s interquartile range is $63.9 ($113.4 − $45.0), Cigna’s is $61.7 ($131.7 − $70.0), BCBS is $40.7 ($97.4 − $53.7), UnitedHealth Group is $31.4 ($81.4 − $52.0), and BUCA’s IQR is $48.3 ($103.1 − $54.7). Thus Aetna and Cigna are the widest, while UnitedHealth Group is the tightest in the middle 50% of commercial rates.

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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 with chronic vulvar dysplasia and recurrent vulvar carcinoma is scheduled for a partial vulvectomy (excision of the external female genitalia) under general anesthesia with possible local/regional blocks for postoperative analgesia. Preoperative evaluation by the anesthesia team includes review of oncologic history, prior surgeries, airway assessment, medication reconciliation, and evaluation of comorbidities (hypertension, diabetes). The patient arrives to an outpatient ambulatory surgery center or hospital operating room — typical sites of service include the main OR in a hospital or an ambulatory surgery center equipped for gynecologic oncology procedures. On the day of surgery, consent for anesthesia is obtained; monitoring per ASA standards is applied. Induction of general anesthesia is performed with endotracheal intubation or laryngeal mask airway based on airway assessment and planned surgical exposure. Regional techniques such as pudendal nerve block or local infiltration may be performed intraoperatively for analgesia. Intraoperative management addresses hemodynamics, blood loss, temperature, and positioning for perineal access. If intraoperative findings require extension to radical perineal resection, anesthetic plan is adjusted for longer duration. Post-anesthesia care includes pain control, nausea prophylaxis, monitoring of voiding, and instructions for wound care prior to discharge or transfer to an inpatient unit if indicated.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    00902Anesthesia for procedures on male genitalia

    Related Modifiers

    9 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…
    55Modifier –55 indicates the billing provider furnished only postoperative management for a procedure that has a global surgical period. According to AAPC, this modifier is appended to the same CPT…- Use modifier -55 when billing the same CPT surgical code that has a 10- or 90-day global period and you, as a provider other than the original surgeon, furnished ONLY postoperative management (no…
    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…
    207LA0401XAddiction Medicine (Anesthesiology) PhysicianAn anesthesiologist who specializes in the diagnosis and treatment of addictions.
    2081P2900XPain Medicine (Physical Medicine & Rehabilitation) PhysicianA physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or …
    213ES0103XFoot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers · Podiatrist
    2081P0301XBrain Injury Medicine (Physical Medicine & Rehabilitation) PhysicianA Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical,…
    2081H0002XHospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianA physical medicine and rehabilitation physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with l…
    207PS0010XSports Medicine (Emergency Medicine) PhysicianAn emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the …

    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-00902-ANESTHESIA-FOR-ANUS-RECTUM-PROCEDURES

    CPT 00902: Anesthesia for Procedures Involving Anus or Rectum

    CPT-00904-ANESTHESIA-RADICAL-PERINEAL-PROCEDURE

    CPT 00904: Anesthesia for Radical Perineal Procedure

    CPT-00908-ANESTHESIA-PERINEAL-PROSTATECTOMY

    CPT 00908: Anesthesia for Perineal Prostatectomy

    CPT-00910-ANESTHESIA-TRANSURETHRAL-URETHROCYSTOSCOPY

    CPT 00910: Anesthesia for Transurethral Procedures including Urethrocystoscopy

    CPT-00912-TRANSURETHRAL-BLADDER-TUMOR-EXCISION-ANESTHESIA

    CPT 00912: Anesthesia for Transurethral Excision of Bladder Tumor

    CPT-00914-ANESTHESIA-TRANSURETHRAL-PROSTATE-REMOVAL

    CPT 00914: Anesthesia for Transurethral Prostate Procedure

    CPT-00916-ANESTHESIA-FOR-TRANSURETHRAL-BLEEDING-CONTROL

    CPT 00916: Anesthesia for Bleeding Control After Transurethral Tissue Removal

    CPT-00918-ANESTHESIA-FOR-URETERAL-STONE-FRAGMENTATION-REMOVAL

    CPT 00918: Anesthesia for Ureteral Stone Fragmentation/Removal

    CPT-00920-ANESTHESIA-FOR-MALE-GENITAL-PROCEDURE-UNSPECIFIED

    CPT 00920: Anesthesia for Male Genitalia Procedure, Unspecified

    CPT-00921-ANESTHESIA-VASECTOMY

    CPT 00921: Anesthesia for Vasectomy

    Showing 1–10 of 25

    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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    Related by anatomical site coding conventions; used for male genital procedures and contrasted with vulvectomy anesthesia coding.
    00904Anesthesia for procedures on the perineumOverlaps anatomically; used when the procedure focus is perineal rather than exclusively vulvar and for coding decisions between perineal vs vulvar codes.
    00908Anesthesia for radical perineal proceduresUsed when the vulvectomy extends to a radical perineal resection; indicates more extensive surgical field and typically longer anesthesia time.
    01992Anesthesia for diagnostic or therapeutic nerve blocksUsed when intraoperative or perioperative pudendal or other nerve blocks are performed for analgesia in conjunction with vulvectomy.