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    v1.0.28
    OpenPayerBilling CodesAnesthesia for Procedures on the PerineumCPT cpt-00908-anesthesia-perineal-prostatectomy
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    CPT 00908: Anesthesia for Perineal Prostatectomy

    Commercial payers pay $72 on average nationally for this procedure.

    CPT code 00908 describes anesthesia services provided for a perineal prostatectomy, where the surgeon approaches the prostate through the perineum to partially or completely remove the gland; service type: anesthesia for major urologic surgery; typical site of service: hospital operating room.

    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

    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.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A typical patient is a 65-year-old male with symptomatic benign prostatic hyperplasia (N40.1) presenting with urinary retention, recurrent urinary tract infections, and obstructive lower urinary tract symptoms. After urologic evaluation including digital rectal exam and imaging, the urologist elects a perineal prostatectomy with partial or complete prostate removal via a perineal approach. The anesthesia team evaluates the patient preoperatively, assesses comorbidities (e.g., cardiovascular disease, pulmonary disease, anticoagulation status), and documents airway and fasting status. On the day of surgery, the patient undergoes standard monitors placement, intravenous access, and receives general anesthesia or regional neuraxial anesthesia per plan. Anesthesia services coded to 00908 cover the intraoperative management specific to perineal prostatectomy, including induction, airway management, maintenance of anesthesia, intraoperative hemodynamic management, and handoff to PACU personnel. Postoperative anesthesia responsibilities include emergence, pain control coordination, and documentation of any intraoperative complications (for example prolonged procedure or urgent reoperation) that may affect modifier selection.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    54150Circumcision, using clamp or other device

    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…
    56Modifier ‑56 indicates the reporting provider furnished only the preoperative management for a surgical procedure and did not perform the intraoperative or postoperative care. It is used in…- Use Modifier -56 when a provider performs only the preoperative management in a split‑care situation (one physician manages preop care while a different physician performs the intraoperative…
    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…
    207LA0401XAddiction Medicine (Anesthesiology) PhysicianAn anesthesiologist who specializes in the diagnosis and treatment of addictions.
    207LP2900XPain Medicine (Anesthesiology) PhysicianAn anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chr…
    311ZA0620XAdult Care Home FacilityA custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in …
    2279P1005XPulmonary Rehabilitation Registered Respiratory TherapistThe respiratory therapist can assist the chronic pulmonary patient in returning to an optimal role in society by providing an effective program. It i…
    163WX0003XInpatient Obstetric Registered NurseNursing Service Providers · Registered Nurse
    207RB0002XObesity Medicine (Internal Medicine) PhysicianA physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the ge…
    207XS0117XOrthopaedic Surgery of the Spine PhysicianRecognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with th…

    Related ICD-10-CM Codes

    29 rows

    ICD-10-CM CodeDescription
    C61Malignant neoplasm of prostate
    C64.9Malignant neoplasm of unspecified kidney, except renal pelvis
    C79.11Secondary malignant neoplasm of bladder
    D29.1Benign neoplasm of prostate
    D40.0Neoplasm of uncertain behavior of prostate
    N13.8Other obstructive and reflux uropathy
    N13.9Obstructive and reflux uropathy, unspecified
    N20.0Calculus of kidney
    N20.1Calculus of ureter
    N32.0Bladder-neck obstruction

    Showing 1–10 of 29

    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-00906-ANESTHESIA-FOR-VULVECTOMY

    CPT 00906: Anesthesia for Vulvectomy

    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 genital surgical procedure; may be performed in the same episode for concurrent penile pathology but not typically with perineal prostatectomy.
    54160Circumcision, surgical excision other than clamp, device or dorsal slitAlternative circumcision technique for penile pathology that could be addressed in the same surgical episode.
    54235Removal of penile prosthesisRelevant if prior penile prosthesis removal is required in a patient undergoing prostate surgery in the same episode.
    54400Insertion of penile prosthesis; non-inflatable (semi-rigid)Related urologic prosthetic procedure that may be staged before or after prostate surgery.
    00910Anesthesia for procedures on male genitalia; vasectomyAnesthesia code for other male genital procedures; listed as related anesthesia codes for male genital surgery and perioperative coding context.