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    OpenPayerBilling CodesAnesthesia for Procedures on the Pelvis (Except Hip)CPT cpt-01150-anesthesia-radical-pelvic-tumor-procedure
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    CPT 01150: Anesthesia for Radical Pelvic Tumor Procedures

    Commercial payers pay $67 on average nationally for this procedure.

    CPT code 01150 describes anesthesia services provided for a patient undergoing radical surgery for a pelvic tumor (excluding hindquarter amputation); this covers administration and management of anesthesia during major pelvic oncologic procedures, typically performed in an operating room setting as intraoperative general or regional anesthesia for extensive pelvic resections.

    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 01150 cluster around the BUCA average commercial benchmark of $66.60, with notable variation by payer. Cigna and UnitedHealth Group sit on opposite ends of the mean spectrum, with Cigna’s mean at $93.10 and UnitedHealth Group’s mean at $67.30, while Blue Cross Blue Shield and Aetna have lower means near $59.20 and $61.80 respectively. Blue Cross Blue Shield shows the highest observed single maximum of $183.20 and Aetna’s maximum is $161.80, indicating occasional high outliers against the BUCA average.

    Rate dispersion, measured as the interquartile range (P75 minus P25), is widest for Cigna at $53.20 (P75 $120.00 minus P25 $67.80) and narrowest for Blue Cross Blue Shield at $33.40 (P75 $73.80 minus P25 $41.40). UnitedHealth Group has a moderate IQR of $28.80, Aetna’s IQR is $37.20, and BUCA’s IQR is $35.80; these comparisons highlight where commercial reimbursement is most and least concentrated around typical values.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Clinical & Coding Specifications

    Clinical Context

    A 62-year-old patient with a rapidly enlarging pelvic soft-tissue mass diagnosed on imaging is scheduled for radical surgical excision of a pelvic tumor (not requiring hindquarter amputation). The preoperative workup documents comorbid osteoarthritis of the knees and prior meniscal injury; however, the operative plan focuses on en bloc resection of the pelvic tumor with possible pelvic organ mobilization and lymph node dissection. The anesthesia team evaluates the patient in pre-op clinic, documents airway assessment, cardiovascular and pulmonary risk, and formulates a general anesthesia plan with invasive monitoring given potential for significant blood loss and long operative time. In the operating room the anesthesiology provider administers induction, endotracheal intubation, maintenance of general anesthesia, invasive arterial line placement, central venous access if indicated, and perioperative hemodynamic management. Postoperative handoff to PACU or ICU is provided with documentation of fluid/blood product administration, analgesia plan, and anticipated postoperative respiratory support.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    01212Anesthesia for open procedures involving hip joint; hip disarticulationRelated pelvis/hip region anesthesia code used for major lower pelvic/hip procedures; used for reference when procedures involve proximal hip disarticulation rather than pelvic tumor resection.

    Related Modifiers

    7 rows

    ModifierDescriptionWhen to Use
    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…
    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…
    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…
    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…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    207L00000X
    367500000X
    207RA0401X
    226000000X
    2084P0301X
    261QA0006X
    364SG0600X
    1835P2201X

    Related ICD-10-CM Codes

    27 rows

    ICD-10-CM CodeDescription
    C49.5Malignant neoplasm of connective and soft tissue of pelvis
    C52Malignant neoplasm of vagina
    C53.9Malignant neoplasm of cervix uteri, unspecified
    C54.1Malignant neoplasm of endometrium
    C56.9Malignant neoplasm of unspecified ovary
    C57.9Malignant neoplasm of female genital organ, unspecified
    C61Malignant neoplasm of prostate
    C76.2Malignant neoplasm of abdomen
    C76.3Malignant neoplasm of pelvis
    C77.5Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes

    Showing 1–10 of 27

    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-01120-ANESTHESIA-FOR-PELVIC-BONY-PROCEDURES

    CPT 01120: Anesthesia for Procedures on the Bony Pelvis

    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-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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