Summary & Overview

CPT 00914: Anesthesia for Transurethral Prostate Removal

CPT code 00914 represents anesthesia services for transurethral removal of the prostate and is used to document perioperative anesthetic management for this urologic procedure. Nationally, accurate coding of anesthesia for transurethral prostate procedures matters for clinical documentation, procedural quality metrics, and appropriate payer adjudication across a broad mix of commercial and public payers. Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.

Readers will find a concise explanation of the clinical context for 00914, the typical site of service and service type, commonly associated diagnoses relevant to billing, and related CPT anesthesia codes for male genital procedures. The publication outlines common modifier usage and lists typical payers included in benchmarking. It also provides connections to related operative codes that may appear on the same claim and highlights the anesthesia specialties and clinical taxonomies associated with these services. The content is intended for coding, billing, and revenue cycle staff who need clear national-level guidance on classification and context for CPT code 00914.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareCPT 00914anesthesiaurologytransurethral prostate removaloperative anesthesiaprocedure codingperioperative caresurgical anesthesia

Billing Code Overview

CPT code 00914 describes anesthesia services provided for a patient undergoing removal of the prostate gland through the urethra. This service type is anesthesia for transurethral prostate removal, and the typical site of service is an operating room or procedure suite where transurethral urologic procedures are performed.

Clinical & Coding Specifications

Clinical Context

A 68-year-old male presents with urinary obstruction and recurrent hematuria attributed to benign prostatic hyperplasia. After urologic evaluation, the patient is scheduled for transurethral resection of the prostate (TURP) under monitored anesthesia care or general anesthesia. The anesthesia team conducts a preoperative assessment documenting airway, ASA physical status, medication history (including anticoagulants), and remote cardiac history. On the day of surgery the patient receives regional spinal anesthesia or general endotracheal anesthesia per anesthesiologist discretion and surgical requirements. Intraoperative care includes airway management, hemodynamic monitoring, intravenous fluid management, and administration of sedatives/analgesics. Postoperative care includes transfer to post-anesthesia care unit (PACU) with monitoring for urinary retention, bleeding, hypotension, and any anesthesia-related complications. Relevant preoperative diagnoses may include sterilization counseling or concurrent penile disorders noted in the medical record that do not alter the TURP but are documented as comorbidities.

Coding Specifications

Modifier	Description	When to Use
`1P`	Principal Anesthesia Code	Use to identify the primary anesthesia service when multiple services documented for this episode.
`22`	Increased Procedural Services	Use when anesthesia care required substantially greater work or complexity than usual and supporting documentation is present.
`23`	Unusual Anesthesia	Use when general anesthesia is rendered for a procedure that is normally performed with local/monitored anesthesia due to unusual circumstances.
`50`	Bilateral Procedure	Use when the anesthesia service is for bilateral surgical procedures performed during the same operative session.
`52`	Reduced Services	Use when anesthesia services are substantially reduced or partially reduced from usual.
`53`	Discontinued Procedure	Use when the procedure is terminated after anesthesia has begun for reasons related to patient condition or intraoperative findings.
`55`	Postoperative Management Only	Use when the anesthesiologist provides only postoperative pain management and not intraoperative care.
`56`	Preoperative Management Only	Use when only preoperative evaluation and management is provided by the anesthesiologist without intraoperative care.
`59`	Distinct Procedural Service	Use to indicate a distinct, separate anesthesia service or procedure when multiple unrelated procedures occur.
`62`	Two Surgeons/Team Approach	Use when two surgeons or a surgical team are required for the procedure and that impacts anesthesia planning.
`78`	Return to Operating Room for Related Procedure	Use when a return to the OR for a related procedure occurs and additional anesthesia is provided.
`AA`	Anesthesiologist Service	Use to identify services personally performed by an anesthesiologist.
`AD`	Medical Supervision by Anesthesiologist	Use for medical direction with more than four concurrent anesthesia procedures, as defined by payer rules.
`AS`	Monitored Anesthesia Care (MAC) by Anesthesiologist	Use when MAC is provided by an anesthesiologist for the procedure.

Taxonomy Code	Specialty	Notes
`207L00000X`	Anesthesiology	Primary providers who bill anesthesia services for `00914`.
`208800000X`	Urology	Surgical specialty performing transurethral prostate procedures described by the anesthesia service.
`207V00000X`	Obstetrics & Gynecology	Included in associated taxonomies list though not the typical surgeon for this specific procedure; may be relevant for shared hospital anesthesia services.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`Z30.2`	Encounter for sterilization	May be documented if sterilization counseling or procedure is part of the urologic visit or concurrent surgical planning.
`N50.9`	Disorder of male genital organs, unspecified	General comorbidity code for male genital disorders that may be present in the perioperative problem list.
`N47.1`	Phimosis	Comorbid penile condition that may be present in the chart; not directly related to transurethral prostate removal but relevant to male genital surgical history.
`N47.2`	Paraphimosis	Acute penile condition that could alter perioperative management if present at time of surgery.
`N48.9`	Disorder of penis, unspecified	Non-specific penile diagnosis that may appear in the record and is relevant as a documented comorbidity.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`55250`	Vasectomy, unilateral or bilateral (separate procedure)	A related male genital procedure that may occur in the same operative setting or be coded separately when performed concurrently.
`00910`	Anesthesia for procedures on male genitalia	Closely related anesthesia code set used for other male genital procedures; helps select the correct anesthesia code for scope and complexity.
`00912`	Anesthesia for procedures on male genitalia; vasotomy, vasoligation, or vasorrhaphy	Related when vasovasostomy or vas deferens procedures are performed during the same surgical session.
`00913`	Anesthesia for procedures on male genitalia; orchiectomy	Relevant for cases where orchiectomy is performed instead of or in addition to prostate procedures; informs anesthesia coding when multiple procedures occur.