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    v1.0.30
    OpenPayerBilling CodesAnesthesia for Procedures on the PerineumCPT cpt-00922-anesthesia-seminal-vesicle-procedures
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    CPT 00922: Anesthesia for Procedures on Seminal Vesicles

    Commercial payers pay $72 on average nationally for this procedure.

    CPT code 00922 describes anesthesia services provided for procedures involving the seminal vesicles, indicating perioperative anesthesia care for genitourinary surgical interventions; service type: anesthesia for surgical procedure; typical site of service: hospital operating room or ambulatory surgery center where urologic procedures on the seminal vesicles are performed.

    For related coverage guidance, see recent payer policy updates: Dental Anesthesia Services, Anesthesia Services for Interventional Pain Management Procedures in an Adult, General Anesthesia and Conscious Sedation Services.

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    National Reimbursement Benchmarks

    National commercial reimbursement for CPT 00922 centers near BUCA’s mean commercial benchmark of $71.6, with notable variation across major payers. Blue Cross Blue Shield’s interquartile range (IQR) is $42.5 (P75 $92.6 minus P25 $49.4), UnitedHealth Group’s IQR is $29.0 (P75 $81.0 minus P25 $52.0), Aetna’s IQR is $33.0 (P75 $76.7 minus P25 $42.0), and Cigna’s IQR is $37.4 (P75 $103.3 minus P25 $65.6). This indicates Blue Cross Blue Shield exhibits the widest middle distribution and UnitedHealth Group the tightest among these payers.

    In absolute levels, Cigna posts the highest median at $81 and a mean of $87.7, while Aetna and UnitedHealth Group have lower medians ($48 and $64 respectively) and means ($60.6 and $67.5). Blue Cross Blue Shield’s mean is $71.4, closely aligned with BUCA’s $71.6 average commercial benchmark. Observed IQR differences highlight varying pricing consistency across payers rather than uniform reimbursement.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    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).

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    55250

    Related Modifiers

    7 rows

    ModifierDescriptionWhen to Use
    22Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
    23Modifier -23 (Unusual Anesthesia) is used on anesthesia service CPT codes when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia…- Use modifier -23 only on anesthesia CPT codes (00100–01999) when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia because of…
    50Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
    78CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    207L00000X
    207V00000X
    208800000X
    211D00000X
    364SN0800X
    305S00000X
    251B00000X
    261QM1200X

    Related Payer Policy Updates

    Specialty: Anesthesiology1 / 3

    10 rows

    PolicyPayerEffective Date
    Dental Anesthesia ServicesProvidence Health Plan2026-10-01
    Anesthesia Services for Interventional Pain Management Procedures in an AdultCigna2026-09-15
    General Anesthesia and Conscious Sedation ServicesUnitedHealthcare2026-09-01
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use DisordersPremera Bluecross2026-07-01
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use DisordersPremera Bluecross2026-07-01
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use DisordersPremera Bluecross2026-07-01
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use DisordersPremera Bluecross2026-07-01
    Elective Inpatient Services (for Idaho Only)UnitedHealthcare2026-06-01
    Sites of Servicepriority health2026-06-01
    Coverage for Ambulatory Surgery Unit (ASU)/Outpatient Facility and Anesthesia for Dental Servicesuniverahealthcare2026-05-21

    Related Codes

    CPT-00902-ANESTHESIA-FOR-ANUS-RECTUM-PROCEDURES

    CPT 00902: Anesthesia for Procedures Involving Anus or Rectum

    CPT-00904-ANESTHESIA-RADICAL-PERINEAL-PROCEDURE

    CPT 00904: Anesthesia for Radical Perineal Procedure

    CPT-00906-ANESTHESIA-FOR-VULVECTOMY

    CPT 00906: Anesthesia for Vulvectomy

    CPT-00908-ANESTHESIA-PERINEAL-PROSTATECTOMY

    CPT 00908: Anesthesia for Perineal Prostatectomy

    CPT-00910-ANESTHESIA-TRANSURETHRAL-URETHROCYSTOSCOPY

    CPT 00910: Anesthesia for Transurethral Procedures including Urethrocystoscopy

    CPT-00912-TRANSURETHRAL-BLADDER-TUMOR-EXCISION-ANESTHESIA

    CPT 00912: Anesthesia for Transurethral Excision of Bladder Tumor

    CPT-00914-ANESTHESIA-TRANSURETHRAL-PROSTATE-REMOVAL

    CPT 00914: Anesthesia for Transurethral Prostate Procedure

    CPT-00916-ANESTHESIA-FOR-TRANSURETHRAL-BLEEDING-CONTROL

    CPT 00916: Anesthesia for Bleeding Control After Transurethral Tissue Removal

    CPT-00918-ANESTHESIA-FOR-URETERAL-STONE-FRAGMENTATION-REMOVAL

    CPT 00918: Anesthesia for Ureteral Stone Fragmentation/Removal

    CPT-00920-ANESTHESIA-FOR-MALE-GENITAL-PROCEDURE-UNSPECIFIED

    CPT 00920: Anesthesia for Male Genitalia Procedure, Unspecified

    Showing 1–10 of 25

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Vasectomy, unilateral or bilateral (separate procedure)
    May be performed during the same surgical episode for male genital procedures in the outpatient setting; anesthesia planning may reference prior vasectomy status (Z98.52).
    00921Anesthesia for procedures on male genitalia; vasectomy, unilateral or bilateralRelated anesthesia code for vasectomy procedures; used when anesthesia services are specific to vasectomy rather than seminal vesicle procedures.
    00840Anesthesia for intraperitoneal procedures in lower abdomenUsed when the seminal vesicle procedure requires intraperitoneal access or extended lower abdominal anesthesia coverage.
    99100Anesthesia for patient of extreme age, younger than 1 year and older than 70Applicable when the patient meets extreme age criteria that warrant an additional anesthesia service code for risk and complexity.