CPT 00906: Anesthesia for Vulvectomy
CPT code 00906 covers anesthesia services for vulvectomy, a surgical excision of external female genitalia. This code identifies professional anesthesia time and complexity associated with gynecologic procedures involving the vulva, and it matters nationally because accurate coding supports appropriate clinical documentation, billing consistency, and payment for perioperative anesthesia services across ambulatory surgical centers and hospital operating rooms. Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, United Healthcare, and Medicare. Readers will find a concise explanation of the clinical service represented by the code, common payer coverage considerations, and context for how this anesthesia code relates to related genital and perineal anesthesia codes. The publication summarizes typical sites of service, core billing themes, and how 00906 is positioned among nearby anesthesia codes for genital and perineal procedures. Data not available in the input is noted where applicable. This overview is intended for clinicians, billing professionals, and policy analysts seeking a national-level snapshot of the code’s clinical scope and payer landscape.
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Billing Code Overview
CPT code 00906 describes anesthesia services provided for a patient undergoing vulvectomy, defined as excision of the external female genitalia. The service type is anesthesia for a surgical gynecologic procedure. The typical site of service is an operating room or other inpatient/outpatient surgical setting where vulvectomy procedures are performed.
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.