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    OpenPayerBilling CodesAnesthesia for Procedures on the PerineumCPT cpt-00934-penile-amputation-bilateral-groin-lymphadenectomy-anesthesia
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    CPT 00934: Anesthesia for Penectomy with Bilateral Groin Lymph Node Dissection

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

    CPT code 00934 describes anesthesia services provided for an extensive surgical procedure involving removal of the penis (penectomy) combined with bilateral groin lymph node dissection; the service is an intraoperative general or regional anesthesia for major urologic oncologic surgery and is typically performed in an inpatient or ambulatory surgical center operating room setting.

    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 00934 center around BUCA’s average commercial rate of $72.1, with individual payer means varying by plan. Blue Cross Blue Shield’s mean is $70.5, Cigna is notably higher at $95.3, UnitedHealth Group sits at $67.3, and Aetna’s mean is $58.5. This places Cigna above BUCA and the other payers on average, while Aetna and UnitedHealth Group fall below BUCA’s average commercial level.

    Dispersion measured by the interquartile range (P75–P25) is tightest for Aetna (range $33.0) and UnitedHealth Group (range $28.8), indicating more concentrated contracted rates. Blue Cross Blue Shield (range $39.8) and BUCA (range $38.2) show moderate dispersion, while Cigna has the widest spread at $56.4, reflecting the greatest variability in commercial allowed amounts among the listed payers.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 67-year-old male with recurrent squamous cell carcinoma of the penis is scheduled for extensive partial penectomy with bilateral superficial and deep inguinal lymph node dissection. The patient has a history of controlled hypertension and type 2 diabetes. Preoperative evaluation by the anesthesiology team includes airway assessment, review of cardiopulmonary status, labs, and discussion of regional versus general anesthetic techniques. General endotracheal anesthesia with potential adjunct neuraxial or peripheral regional blockade is planned due to expected duration, blood loss risk, and bilateral groin dissection.

    Perioperative workflow: preoperative holding area evaluation and consent; induction of anesthesia in operating room with standard monitors; maintenance of general anesthesia with endotracheal tube; intraoperative management of hemodynamics and fluid balance; regional catheter or single-shot nerve blocks considered for postoperative analgesia; emergence and transfer to PACU with handoff documentation including type of anesthesia, estimated blood loss, fluids, and any intraoperative events.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    49505Repair initial inguinal hernia, age 5 years or older; reducibleRepresents a common lower abdominal/inguinal surgical procedure for which anesthesia services similar in scope (lower abdomen/groin) are provided; useful for anesthesia time/management comparisons.

    Related Modifiers

    9 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…
    54Modifier ‑54 (“Surgical care only”) is appended to a CPT surgical procedure when the reporting surgeon performs the intraoperative (surgical) component but does not furnish the preoperative and/or…- Use modifier -54 when the reporting surgeon provided only the intraoperative (surgical) component of a procedure and preoperative and/or postoperative management has been or will be provided by…
    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.
    207LP2900XPain Medicine (Anesthesiology) PhysicianAn anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chr…
    2080P0208XPediatric Infectious Diseases PhysicianA pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific know…
    2085R0203XTherapeutic Radiology PhysicianTherapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.
    133VN1401XPediatric Critical Care Nutrition Registered DietitianAn individual who is a Board Certified Specialist in Pediatric Critical Care Nutrition and applies evidence-based nutrition knowledge in providing med…
    2080C0008XChild Abuse Pediatrics PhysicianA Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agenci…
    193400000XSingle Specialty GroupA business group of one or more individual practitioners, all of who practice with the same area of specialization.

    Related ICD-10-CM Codes

    29 rows

    ICD-10-CM CodeDescription
    A49.9Bacterial infection, unspecified
    B37.7Candidal sepsis
    C44.99Other specified malignant neoplasm of skin, unspecified
    C60.0Malignant neoplasm of prepuce
    C60.1Malignant neoplasm of glans penis
    C60.2Malignant neoplasm of body of penis
    C60.9Malignant neoplasm of penis, unspecified
    C63.2Malignant neoplasm of scrotum
    D07.4Carcinoma in situ of penis
    D07.5Carcinoma in situ of prostate

    Showing 1–10 of 29

    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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    49585Repair umbilical hernia, age 5 years or older; reducibleAnother lower abdominal hernia repair illustrating procedures in the lower abdomen/umbilical region that use comparable anesthetic approaches.
    49560Repair initial incisional or ventral hernia; reducibleRepresents ventral/incisional hernia repairs in the lower abdomen; similar intraoperative positioning and monitoring concerns.
    00830Anesthesia for procedures in lower abdomen, including hernia repairsRelated anesthesia base code for lower abdominal and groin procedures; used for coding anesthesia time and base units for surgeries in the lower abdomen and groin.