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    OpenPayerBilling CodesAnesthesia for Procedures on the PerineumCPT cpt-00930-anesthesia-for-orchiopexy-undescended-testis
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    CPT 00930: Anesthesia for Orchiopexy (Undescended Testis)

    Commercial payers pay $86 on average nationally for this procedure.

    CPT code 00930 describes anesthesia services provided for surgical treatment to move an undescended testis (orchiopexy) on one or both sides; the service is an anesthesia procedure typically delivered in an operating room or ambulatory surgical center for patients undergoing corrective genital surgery.

    For related coverage guidance, see recent payer policy updates: Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders.

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    National Reimbursement Benchmarks

    National commercial rates for CPT 00930 cluster around BUCA’s average commercial rate of $85.80, with variation among major carriers. Blue Cross Blue Shield (BCBS) and UnitedHealth Group sit below BUCA on average ($75.10 and $68.00 respectively), while Cigna ($91.40) and Aetna ($130.30) are above. Aetna shows the highest max at $408.30, and Cigna and Aetna have higher medians than BCBS and UnitedHealth Group.

    Dispersion measured by the interquartile range (P75–P25) highlights differences in consistency: Aetna’s IQR is $133.90, indicating the widest midspread; Cigna’s IQR is $40.40 and BUCA’s IQR is $54.20, both moderate. The tightest commercial spread is UnitedHealth Group at $29.40, followed by Blue Cross Blue Shield at $39.70, suggesting these payers have more concentrated negotiated rates around their midpoints.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 2-year-old male presents to pediatric surgery with an undescended testis noted on physical exam. Preoperative evaluation by the anesthesiology team documents a history of prematurity and mild reactive airway disease; the patient is ASA P2. The surgical plan is unilateral orchidopexy to mobilize and secure the testis within the scrotum under general anesthesia. The typical clinical workflow includes preoperative assessment in the pre-op holding area, induction of anesthesia (inhalational or intravenous depending on cooperation), endotracheal intubation or supraglottic airway placement, intraoperative monitoring, maintenance of anesthesia with appropriate agents, surgical repair (inguinal exploration and orchidopexy), emergence, and postoperative recovery in the PACU. Documentation includes anesthesia start and stop times, airway management, intraoperative events, anesthetic agents and doses, fluid/blood administration if any, regional blocks if used, and immediate postoperative disposition. Billing uses anesthesia code 00930 for orchidopexy (one or both sides) with modifiers applied as clinically appropriate.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    00932Anesthesia for procedures on male genitalia (including open urethral procedures); complete amputation of penisRelated anesthesia code for more extensive genital procedures; listed for billing context among male genital anesthesia codes.

    Related Modifiers

    8 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…
    55Modifier –55 indicates the billing provider furnished only postoperative management for a procedure that has a global surgical period. According to AAPC, this modifier is appended to the same CPT…- Use modifier -55 when billing the same CPT surgical code that has a 10- or 90-day global period and you, as a provider other than the original surgeon, furnished ONLY postoperative management (no…
    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 CodeSpecialtyNotes
    207L00000XAnesthesiology PhysicianAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
    207LA0401XAddiction Medicine (Anesthesiology) PhysicianAn anesthesiologist who specializes in the diagnosis and treatment of addictions.
    207LC0200XCritical Care Medicine (Anesthesiology) PhysicianAn anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialis…
    247100000XRadiologic TechnologistA medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and…
    125Q00000XOral Medicine DentistryOral Medicine is the specialty of dentistry responsible for the oral health care of medically complex patients and for the diagnosis and management of…
    163WM0102XMaternal Newborn Registered NurseNursing Service Providers · Registered Nurse
    207SG0203XClinical Molecular Genetics PhysicianA clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of …
    2251E1300XClinical Electrophysiology Physical TherapistA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical …

    Related ICD-10-CM Codes

    25 rows

    ICD-10-CM CodeDescription
    E29.1Testicular hypofunction
    E29.9Testicular dysfunction, unspecified
    E88.9Metabolic disorder, unspecified
    F82Specific developmental disorder of motor function
    J32.9Chronic sinusitis, unspecified
    J33.0Polyp of nasal cavity
    J34.2Deviated nasal septum
    J34.3Hypertrophy of nasal turbinates
    J34.89Other specified disorders of nose and nasal sinuses
    K62.5Hemorrhage of anus and rectum

    Showing 1–10 of 25

    Related Payer Policy Updates

    Specialty: Anesthesiology1 / 3

    7 rows

    PolicyPayerEffective Date
    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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    00934Anesthesia for procedures on male genitalia (including open urethral procedures); radical amputation of penis with bilateral inguinal lymphadenectomyRelated anesthesia code for major genital oncologic procedures; included for reference within the same anesthesia family.
    00936Anesthesia for procedures on male genitalia (including open urethral procedures); radical amputation of penis with bilateral inguinal and iliac lymphadenectomyRelated anesthesia code for extensive genital procedures requiring different anesthesia valuation.
    00938Anesthesia for procedures on male genitalia (including open urethral procedures); insertion of penile prosthesis (perineal approach)Related anesthesia code for prosthetic implantation procedures on male genitalia; included as a related code within the anatomical grouping.