CPT 00910: Anesthesia for Transurethral Procedures, Including Urethrocystoscopy
CPT code 00910 identifies anesthesia services for transurethral procedures, including urethrocystoscopy, when no other specific anesthesia code applies. This code is relevant across surgical settings where endoscopic evaluation or minor operative interventions of the urinary tract are performed through the urethra. Nationally, accurate use of this code supports appropriate anesthesia billing for a common group of urologic procedures and ensures alignment between anesthesia services rendered and payer expectations.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for 00910, typical sites of service, and the kinds of procedures it captures. The publication summarizes payer coverage considerations and common coding relationships, situating 00910 among closely related anesthesia codes used for specific transurethral resections and fragmentations.
This summary equips billing managers, anesthesia providers, and compliance staff with a concise reference to the code's clinical scope, common use cases, and adjacent codes to consider when assigning anesthesia CPT codes for urologic endoscopic procedures.
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Billing Code Overview
CPT code 00910 describes anesthesia services provided for patients undergoing transurethral procedures, including urethrocystoscopy. The code applies when the anesthesia provider manages perioperative anesthesia care for diagnostic or therapeutic endoscopic evaluation of the urinary tract performed through the urethra.
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Service type: Anesthesia for transurethral procedures, including urethrocystoscopy
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Typical site of service: Operating room or procedure suite where transurethral endoscopic urologic procedures are performed
National Reimbursement Benchmarks
National commercial rates for CPT 00910 cluster around BUCA’s average commercial rate of $94.40, with notable variation across major carriers. Blue Cross Blue Shield’s interdecile spread (P75–P25) is $47.90, UnitedHealth Group is the tightest at $29.00, while Aetna and Cigna show wider dispersion of $100.60 and $61.00 respectively, indicating more variability in negotiated rates. BUCA’s interquartile spread is $54.80, placing it between the national extremes.
Payer-level medians and means diverge: Aetna’s mean ($144.60) and median ($118.90) sit well above BUCA’s average, while UnitedHealth Group’s mean ($68.50) and median ($65.00) are below. Blue Cross Blue Shield and Cigna present midrange medians ($71.90 and $90.80) with different spreads, suggesting that payers with tighter interquartile ranges (UnitedHealth Group, Blue Cross Blue Shield) have more consistent pricing, whereas Aetna and Cigna exhibit broader negotiated outcomes.