Summary & Overview
CPT 00922: Anesthesia for Seminal Vesicle Procedures
CPT code 00922 designates anesthesia services for procedures involving the seminal vesicles. This code is used when an anesthesia provider manages perioperative care for surgical or procedural interventions targeting these male reproductive glands. Accurate use of the code supports consistent clinical documentation and billing for anesthesia services in urologic care nationally.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, United Healthcare, and Medicare. Readers will find a concise overview of the clinical context for 00922, typical sites of service, and how it relates to other anesthesia and urology procedure codes. The publication summarizes the code's intent, common clinical scenarios that prompt its use, and related coding considerations that influence payer adjudication and claims processing.
This summary equips anesthesia providers, coding professionals, and healthcare administrators with a clear reference to the code's clinical focus and billing placement. It highlights connections to relevant anesthesia practice for male genital surgical procedures and flags related anesthesia codes for cross-reference. Data not available in the input is noted where applicable.
Billing Code Overview
CPT code 00922 describes anesthesia services provided for procedures involving the seminal vesicles, the glands that contribute components to semen. The code represents anesthesia management associated with surgical or procedural interventions targeting the seminal vesicles.
Service type: Anesthesia for procedures on male reproductive organs related to the seminal vesicles
Typical site of service: Hospital operating room or ambulatory surgical center, where urologic or urological surgery procedures on the seminal vesicles are performed.
Clinical & Coding Specifications
Clinical Context
A 42-year-old male presents to the ambulatory surgery center for elective surgical management of a seminal vesicle-related condition under general or regional anesthesia. The patient has a history of prior vasectomy (Z98.52) and intermittent scrotal pain with imaging suggesting seminal vesicle pathology. Preoperative assessment documents American Society of Anesthesiologists (ASA) physical status P2 due to well-controlled hypertension. The urology team plans a transrectal or transperineal approach for targeted seminal vesicle biopsy or surgical excision; intraoperative goals include adequate analgesia, immobility, and hemodynamic stability.
Perioperative workflow: preoperative evaluation and consent in the clinic; routine pre-anesthesia assessment including airway, fasting status, and medication reconciliation; intraoperative anesthesia management (general endotracheal anesthesia or monitored anesthesia care with regional block) with appropriate monitoring; postoperative recovery in PACU with plan for discharge same day if stable. Documentation includes operative note specifying seminal vesicle procedure, anesthetic technique, ASA status, intraoperative events, and any modifier-applicable circumstances (for example, bilateral procedure, unusual anesthesia complexity).
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 |