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.
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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.
National Reimbursement Benchmarks
National commercial pricing for CPT 00914 centers on BUCA’s average commercial rate of $84.10 as a convenient midpoint for comparison. Blue Cross Blue Shield’s spread between the 25th and 75th percentiles is $37.00, UnitedHealth Group’s spread is $28.90, Cigna’s is $58.60, and Aetna’s is $115.70; BUCA’s interquartile range is $54.50. These ranges indicate meaningful variation: Aetna and Cigna show the widest dispersion, suggesting greater heterogeneity in contracted rates, while UnitedHealth Group and Blue Cross Blue Shield exhibit tighter clustering around their middle percentiles.
Looking at central tendency, median or mean values place BUCA at $84.10 (mean) versus payer medians or means such as Aetna median $104.70, Blue Cross Blue Shield median $63.50, Cigna median $86.00, and UnitedHealth Group median $64.00. The combination of higher median/mean with wide dispersion for some payers implies more upward outliers, whereas payers with narrower interquartile ranges reflect more consistent commercial pricing for this CPT.