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    OpenPayerBilling CodesAnesthesia for Procedures on the Pelvis (Except Hip)CPT cpt-01120-anesthesia-for-pelvic-bony-procedures
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    CPT 01120: Anesthesia for Procedures on the Bony Pelvis

    Commercial payers pay $75 on average nationally for this procedure.

    CPT code 01120 describes anesthesia services provided for patients undergoing procedures on the bony pelvis, typically delivered as regional or general anesthesia in an operating room or other procedural surgical setting for pelvic orthopedic or reconstructive procedures.

    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 rates for CPT 01120 cluster around BUCA’s average commercial rate of $74.6, with notable variation among individual carriers. Blue Cross Blue Shield shows a relatively narrow interquartile spread ($80.1 − $43.6 = $36.5), and UnitedHealth Group similarly tight ($81.0 − $52.0 = $29.0), indicating more consistency in midrange payments. Cigna and Aetna display wider dispersion: Cigna’s IQR is $123.2 − $68.0 = $55.2, and Aetna’s is $115.3 − $45.0 = $70.3, reflecting greater variability in contracted rates around their medians.

    Beyond IQR comparisons, payer-specific maximums and minimums further highlight outliers: Aetna reaches a max of $357.4 while Blue Cross Blue Shield’s max is $192.7 and UnitedHealth Group’s max is $122.7, amplifying the spread of top-tier payments. Median values place Cigna ($86) and Aetna ($64.2) above and near BUCA’s mean, respectively, illustrating how average commercial positioning can mask wide payer-level dispersion.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 72-year-old female presents to the orthopedic service after a ground-level fall with severe pelvic pain and inability to bear weight. Imaging demonstrates a displaced pathological fracture of the pelvis consistent with osteoporosis. The patient is scheduled for open reduction and internal fixation of the pelvic ring under general endotracheal anesthesia. The anesthesia team performs preoperative assessment, documents ASA physical status P3 for multiple comorbidities (hypertension, chronic obstructive pulmonary disease), obtains informed consent for anesthesia, places standard monitors and arterial line for hemodynamic monitoring, induces general anesthesia with endotracheal intubation, provides intraoperative anesthetic management including blood loss replacement and analgesia, and coordinates postoperative handoff to PACU with anesthetic record documentation. Typical site of service is an inpatient operating room; occasionally procedures on the bony pelvis occur in an ambulatory surgical center for less complex procedures such as bone marrow biopsy of the iliac crest. Common payors include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, and Medicare.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    01112Anesthesia for procedures on the pelvis (except hip) – bone marrow aspiration or biopsy of iliac crestUsed for anesthesia specific to iliac crest bone marrow aspiration/biopsy; a less invasive pelvic bone procedure compared to open fixation covered by .

    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 Code
    207L00000X
    367H00000X
    367500000X
    2081S0010X
    2251N0400X
    106E00000X
    3245S0500X
    3747A0650X

    Related ICD-10-CM Codes

    5 rows

    ICD-10-CM CodeDescription
    M84.459APathological fracture, hip, unspecified, initial encounter for fracture
    S32.2XXAFracture of coccyx, initial encounter for closed fracture
    S32.9XXAFracture of unspecified parts of lumbosacral spine and pelvis, initial encounter for closed fracture
    M80.059AAge-related osteoporosis with current pathological fracture, unspecified femur, initial encounter for fracture
    M87.051Idiopathic aseptic necrosis of right femur

    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-01112-ANESTHESIA-BONE-MARROW-ASPIRATION-BIOPSY-ILIAC-CREST

    CPT 01112: Anesthesia for Iliac Crest Bone Marrow Aspiration/Biopsy

    CPT-01130-ANESTHESIA-BODY-CAST-APPLICATION-REVISION

    CPT 01130: Anesthesia for Body Cast Application or Revision

    CPT-01140-INTERPELVIABDOMINAL-AMPUTATION-ANESTHESIA

    CPT 01140: Anesthesia for Interpelviabdominal (Hindquarter) Amputation

    CPT-01150-ANESTHESIA-RADICAL-PELVIC-TUMOR-PROCEDURE

    CPT 01150: Anesthesia for Radical Pelvic Tumor Procedures

    CPT-01160-ANESTHESIA-CLOSED-SYMPHYSIS-PUBIS-SACROILIAC-PROCEDURE

    CPT 01160: Anesthesia for Closed Pelvic Procedures (Symphysis/Sacroiliac)

    CPT-01170-ANESTHESIA-OPEN-SYMPHYSIS-PUBIS-SACROILIAC-JOINT

    CPT 01170: Anesthesia for Pubic Symphysis or Sacroiliac Joint Procedures

    CPT-01173-ANESTHESIA-OPEN-PELVIC-ACETABULAR-FRACTURE-REPAIR

    CPT 01173: Anesthesia for Open Repair of Pelvic/Acetabular Fracture

    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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    01120
    01130Anesthesia for procedures on the pelvis (except hip) – body cast application or revisionUsed when anesthesia is required for body cast application or revision involving the pelvis; may be performed in the same clinical pathway for pelvic fracture management when casting is chosen instead of surgical fixation.