CPT 00920: Anesthesia for Male Genital Procedure, Unspecified
CPT code 00920 represents anesthesia services provided for procedures on the male genitalia that are not specifically described by other anesthesia codes. Clinically, it covers anesthesia management when surgery involves the penis or related external structures and may include incision of the urethra as part of the operative intervention. This code is relevant nationally because it standardizes reporting for anesthesia care in a set of uncommon or otherwise uncodified male genital procedures, supporting billing consistency and clinical documentation.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, United Healthcare, and Medicare. Readers will find a concise overview of the code's clinical scope, common usage contexts, and how it fits within anesthesia coding for male genital procedures. The publication outlines associated clinical indications and related anesthesia codes for similar procedures, and it presents the policy and billing considerations that typically accompany use of this code.
Intended takeaways include a clear understanding of when to report CPT code 00920, the typical clinical settings where it is used, and how it relates to other anesthesia codes used for male genital surgery. The content is designed for national audiences including billing professionals, anesthesia providers, and health policy stakeholders seeking clarity on coding practice and documentation expectations.
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Billing Code Overview
CPT code 00920 describes anesthesia services for procedures on male genitalia not otherwise specified by other anesthesia codes. The code applies when the anesthesiologist or anesthesia provider delivers anesthesia care for surgical or procedural interventions on the penis or related external male genital structures. As part of the procedure the provider may perform an incision of the urethra.
Service type: General anesthesia services for male genital procedures not otherwise classified.
Typical site of service: Operating room or procedure suite in an acute care hospital or ambulatory surgical center.
National Reimbursement Benchmarks
Across national commercial benchmarks for CPT 00920, BUCA’s average commercial rate sits at $104.40, which provides a mid-market reference point among national payers. Blue Cross Blue Shield’s distribution is relatively tight with a P75–P25 spread of $47.60, and UnitedHealth Group shows a similarly modest dispersion of $28.00, indicating more concentrated pricing bands. Cigna’s spread is $66.70 and Aetna’s spread is $174.30, reflecting progressively wider variability in negotiated commercial rates.
Overall dispersion varies materially: Aetna exhibits the widest interquartile spread at $174.30, suggesting the most heterogeneity in commercial contract levels, while UnitedHealth Group is the tightest at $28.00, indicating more consistent reimbursement. Blue Cross Blue Shield and Cigna fall in between, and BUCA’s mean sits near the middle of these payers’ ranges, offering a convenient commercial average reference.