CPT 00942: Anesthesia for Vaginal and Associated Procedures
CPT code 00942 represents anesthesia services delivered for surgical procedures involving the female vagina and associated structures, including biopsy, incision, repair of vaginal tear, excision of the vagina, and open urethral procedures. This anesthesia-specific CPT code is relevant to hospitals, ambulatory surgical centers, anesthesiology groups, and payers because it defines a procedural category for perioperative anesthesia billing tied to gynecologic and perineal interventions.
Key national payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication provides a concise overview of clinical context for the code, typical sites of service, and payer coverage considerations. Readers will find information about common billing modifiers, associated provider taxonomies, relevant ICD-10 diagnoses that may appear on claims, and closely related anesthesia codes for adjacent procedural sites.
This summary equips readers with the operational and coding context needed to identify where 00942 fits in anesthesia service lines, how it maps to gynecologic surgical care, and which payers commonly encounter this code on claims. Data not available in the input is noted where applicable.
Customize your policy alerts
Sign up for cpt 00942 policy alerts
Get alerted when payer policies referencing 00942 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 00942 describes anesthesia services provided for procedures on the female vagina and associated structures. The code covers anesthesia for interventions such as biopsy, incision into the vagina, repair of vaginal tear, excision of the vagina, and open urethral procedures.
Service Type: Anesthesia for gynecologic and vaginal surgical procedures
Typical Site of Service: Operating room or procedure suite for vaginal and perineal surgical care
National Reimbursement Benchmarks
For CPT 00942 the BUCA average commercial benchmark sits at $85.20, offering a mid-market reference across national commercial contracts. Among named payers, Aetna and Cigna show higher central tendencies with mean rates of $117.50 and $99.70 respectively, while Blue Cross Blue Shield and UnitedHealth Group center lower at $75.30 and $67.90. This positions BUCA roughly between the higher Cigna/Aetna cluster and the lower BCBS/UnitedHealth cluster.
Dispersion measured as the interquartile range (P75 minus P25) highlights where rates are most and least concentrated: Aetna’s IQR is $110.10 ($155.60 − $45.00), Cigna’s is $61.70 ($131.70 − $70.00), Blue Cross Blue Shield’s is $41.70 ($95.40 − $53.70), BUCA’s is $54.40 ($109.10 − $54.70), and UnitedHealth Group’s is $29.10 ($81.10 − $52.00). UnitedHealth Group is the tightest payer by IQR and Aetna the widest, with BUCA and Cigna in the mid-range of dispersion.