CPT 00908: Anesthesia for Perineal Prostatectomy
CPT code 00908 represents anesthesia services for perineal prostatectomy, a surgical approach to prostate removal through the perineum. This anesthesia code covers perioperative care for a major urologic procedure with implications for surgical scheduling, resource allocation, and national anesthesia service utilization. It is relevant across hospital and ambulatory surgical settings where prostatectomy via the perineal route is performed.
Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, United Healthcare, and Medicare. Readers will find an overview of payer coverage and common billing considerations for anesthesia associated with perineal prostatectomy, comparison to related anesthesia codes for male genital and pelvic procedures, and clinical context around the procedure type and typical site of service. The publication also highlights common modifiers and related CPT procedure codes used alongside anesthesia billing to help coders and billing managers align claims with clinical documentation.
This national-level summary provides clinicians, anesthesiology departments, and revenue cycle teams with a concise reference to the code's purpose, typical use cases, and where it fits among related anesthesia and urology procedure codes. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 00908 describes anesthesia services provided for a perineal prostatectomy, a surgical procedure in which the surgeon partially or completely removes the prostate gland by approaching it through the perineum. The service type is anesthesia for a major urologic pelvic procedure. The typical site of service is an operating room or surgical suite where inpatient or outpatient prostatectomy procedures are performed.
National Reimbursement Benchmarks
Commercial rates for CPT 00908 cluster around BUCA’s average commercial rate of $71.70, with notable variation among major insurers. Cigna posts a high mean of $95.30 and Blue Cross Blue Shield reaches a higher maximum but a similar mean ($69.70), while Aetna and UnitedHealth Group have lower means ($58.40 and $67.30 respectively). These differences indicate payers price this code across a moderate band, with Cigna skewing higher on average versus Aetna, and BUCA sitting near the middle as an average-commercial benchmark.
Dispersion measured by the interquartile spread (P75–P25) is widest for Cigna and BUCA at $56.40 and $40.90 respectively, reflecting broader internal variability; Blue Cross Blue Shield follows with a $39.70 spread. The tightest spread appears with UnitedHealth Group ($26.80) and Aetna ($33.00), signaling relatively more consistent commercial pricing for those payers.