CPT 01200: Anesthesia for Closed Procedure on Hip Joint

Commercial payers pay $78 on average nationally for this procedure.

CPT code 01200 describes anesthesia services provided for a patient undergoing a closed procedure involving the hip joint; this includes administration and management of anesthesia during nonopen (closed) diagnostic or therapeutic interventions on the hip. Service type: anesthesia for hip joint procedures (closed). Typical site of service: ambulatory surgical center or hospital operating/procedure room where hip arthroscopy or other closed hip interventions are performed.

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National Reimbursement Benchmarks

Across national commercial payers, BUCA’s average commercial rate of $78.4 serves as a general midpoint for CPT 01200, with individual carriers showing meaningful variation around that level. Cigna (mean $91.4) and Aetna (mean $78.7) center above and near BUCA’s average, while UnitedHealth Group (mean $67.9) and Blue Cross Blue Shield (mean $77.4) align close to BUCA. Maximum and minimum values diverge by carrier, but BUCA’s average provides a concise reference for national commercial pricing.

Dispersion measured as the interquartile range (P75 minus P25) reveals Cigna with a relatively wide spread of $40.4 ($108.10 - $67.60) and Aetna also broad at $60.0 ($104.00 - $43.00), indicating greater variability in contracted rates. UnitedHealth Group shows the tightest IQR at $30.9 ($81.10 - $52.00), while Blue Cross Blue Shield’s IQR is $50.9 ($103.60 - $52.70), reflecting moderate dispersion. BUCA’s IQR of $46.6 ($100.70 - $53.40) sits in the middle of the payer distribution.

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CPT 01200: Anesthesia for Closed Procedure on Hip Joint

Commercial payers pay $78 on average nationally for this procedure.

Customize your policy alerts

Sign up for cpt 01200 policy alerts

Get alerted when payer policies referencing 01200 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

National Reimbursement Benchmarks

National Payer Mean Reimbursement Rates

Clinical & Coding Specifications

Clinical Context

A 58-year-old ambulatory patient presents with chronic right hip pain refractory to conservative care and is scheduled for a closed hip joint procedure under anesthesia, such as an intra-articular hip injection, closed reduction of a hip dislocation, or arthrography. The patient has a history of osteoarthritis of the hip with episodic mechanical symptoms and intermittent instability. Preoperative evaluation by the anesthesiology team includes review of comorbidities, airway assessment, fasting status, medication reconciliation (including anticoagulants), and informed consent for monitored anesthesia care (MAC) or general anesthesia as appropriate.

On the day of service the patient arrives to an ambulatory surgery center or hospital outpatient department. Standard ASA monitors are applied, intravenous access obtained, and regional techniques (e.g., lumbar plexus block or fascia iliaca block) may be considered in coordination with the proceduralist. The anesthesiologist documents the start and stop times of anesthesia services, intraoperative hemodynamic management, any emergence events, and post-anesthesia recovery instructions before transfer to PACU. Billing uses 01200 for anesthesia services provided for any closed procedure involving the hip joint.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`01202`	Under Anesthesia for Procedures on the Upper Leg (Except Knee) – arthroscopic procedure of the hip joint	Alternative anesthesia code used for arthroscopic hip procedures; used when the specific arthroscopic procedure falls under that descriptor.
`01250`	Under Anesthesia for Procedures on the Upper Leg (Except Knee) – procedure on nerves, muscles, tendons, fascia, and bursae of the upper leg	Related when soft-tissue interventions around the hip or upper leg are performed under anesthesia during the same encounter.

Related Modifiers

8 rows

Modifier	Description	When to Use
23	Modifier -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…
50	Modifier –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…
52	Modifier ‑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…
53	Modifier 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…
54	Modifier ‑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…
55	Modifier –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…
62	Modifier 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…
78	CPT 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	Specialty	Notes
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
207LA0401X	Addiction Medicine (Anesthesiology) Physician	An anesthesiologist who specializes in the diagnosis and treatment of addictions.
207LP2900X	Pain Medicine (Anesthesiology) Physician	An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chr…
364SS0200X	School Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
103TM1700X	Deactivated - Psychologist Men & Masculinity
207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the labora…
174200000X	Meals Provider	A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away f…
261QR0208X	Mobile Radiology Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center

Related Codes

CPT-01202-ARTHROSCOPIC-HIP-ANESTHESIA

CPT 01202: Anesthesia for Hip Arthroscopy

CPT-01210-ANESTHESIA-OPEN-PROCEDURE-HIP-JOINT

CPT 01210: Anesthesia for Open Procedure of Hip Joint

CPT-01212-HIP-DISARTICULATION-ANESTHESIA

CPT 01212: Anesthesia for Open Disarticulation of Hip

CPT-01214-ANESTHESIA-OPEN-TOTAL-HIP-ARTHROPLASTY

CPT 01214: Anesthesia for Open Total Hip Arthroplasty

CPT-01215-ANESTHESIA-REVISION-TOTAL-HIP-ARTHROPLASTY

CPT 01215: Anesthesia for Revision of Open Total Hip Arthroplasty

CPT-01220-ANESTHESIA-CLOSED-PROCEDURE-UPPER-FEMUR

CPT 01220: Anesthesia for Closed Procedure of Upper Two-Thirds of Femur

CPT-01230-ANESTHESIA-OPEN-UPPER-TWO-THIRDS-FEMUR

CPT 01230: Anesthesia for Open Procedure of Upper Two-Thirds of Femur

CPT-01232-ANESTHESIA-AMPUTATION-UPPER-THIGH-FEMUR

CPT 01232: Anesthesia for Amputation of Upper Femur

CPT-01234-ANESTHESIA-RADICAL-RESECTION-UPPER-FEMUR

CPT 01234: Anesthesia for Radical Resection of Upper Two-Thirds of Femur

CPT-01250-ANESTHESIA-UPPER-LEG-SOFT-TISSUE-PROCEDURES

CPT 01250: Anesthesia for Upper Leg Soft-Tissue Procedures

Showing 1–10 of 14

Frequently Asked Questions

References

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.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.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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Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`01202`	Under Anesthesia for Procedures on the Upper Leg (Except Knee) – arthroscopic procedure of the hip joint	Alternative anesthesia code used for arthroscopic hip procedures; used when the specific arthroscopic procedure falls under that descriptor.
`01250`	Under Anesthesia for Procedures on the Upper Leg (Except Knee) – procedure on nerves, muscles, tendons, fascia, and bursae of the upper leg	Related when soft-tissue interventions around the hip or upper leg are performed under anesthesia during the same encounter.

Related Modifiers

8 rows

Modifier	Description	When to Use
23	Modifier -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…
50	Modifier –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…
52	Modifier ‑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…
53	Modifier 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…
54	Modifier ‑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…
55	Modifier –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…
62	Modifier 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…
78	CPT 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	Specialty	Notes
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
207LA0401X	Addiction Medicine (Anesthesiology) Physician	An anesthesiologist who specializes in the diagnosis and treatment of addictions.
207LP2900X	Pain Medicine (Anesthesiology) Physician	An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chr…
364SS0200X	School Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
103TM1700X	Deactivated - Psychologist Men & Masculinity
207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the labora…
174200000X	Meals Provider	A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away f…
261QR0208X	Mobile Radiology Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center

Related Codes

CPT-01202-ARTHROSCOPIC-HIP-ANESTHESIA

CPT 01202: Anesthesia for Hip Arthroscopy

CPT-01210-ANESTHESIA-OPEN-PROCEDURE-HIP-JOINT

CPT 01210: Anesthesia for Open Procedure of Hip Joint

CPT-01212-HIP-DISARTICULATION-ANESTHESIA

CPT 01212: Anesthesia for Open Disarticulation of Hip

CPT-01214-ANESTHESIA-OPEN-TOTAL-HIP-ARTHROPLASTY

CPT 01214: Anesthesia for Open Total Hip Arthroplasty

CPT-01215-ANESTHESIA-REVISION-TOTAL-HIP-ARTHROPLASTY

CPT 01215: Anesthesia for Revision of Open Total Hip Arthroplasty

CPT-01220-ANESTHESIA-CLOSED-PROCEDURE-UPPER-FEMUR

CPT 01220: Anesthesia for Closed Procedure of Upper Two-Thirds of Femur

CPT-01230-ANESTHESIA-OPEN-UPPER-TWO-THIRDS-FEMUR

CPT 01230: Anesthesia for Open Procedure of Upper Two-Thirds of Femur

CPT-01232-ANESTHESIA-AMPUTATION-UPPER-THIGH-FEMUR

CPT 01232: Anesthesia for Amputation of Upper Femur

CPT-01234-ANESTHESIA-RADICAL-RESECTION-UPPER-FEMUR

CPT 01234: Anesthesia for Radical Resection of Upper Two-Thirds of Femur

CPT-01250-ANESTHESIA-UPPER-LEG-SOFT-TISSUE-PROCEDURES

CPT 01250: Anesthesia for Upper Leg Soft-Tissue Procedures

Showing 1–10 of 14

Frequently Asked Questions

References

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.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.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.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

CPT 01200: Anesthesia for Closed Procedure on Hip Joint

Sign up for cpt 01200 policy alerts

National Reimbursement Benchmarks

CPT 01200: Anesthesia for Closed Procedure on Hip Joint

Sign up for cpt 01200 policy alerts

National Reimbursement Benchmarks

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What clinical situations and settings warrant use of CPT 01200?

Which modifiers are commonly used with CPT 01200 and when are they applied?

What does the benchmark data show about payer reimbursement variation for CPT 01200?

Are there related CPT codes I should consider instead of 01200?

Which provider specialties and diagnoses are associated with billing CPT 01200?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What clinical situations and settings warrant use of CPT 01200?

Which modifiers are commonly used with CPT 01200 and when are they applied?

What does the benchmark data show about payer reimbursement variation for CPT 01200?

Are there related CPT codes I should consider instead of 01200?

Which provider specialties and diagnoses are associated with billing CPT 01200?

References