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    v1.0.30
    OpenPayerBilling CodesAnesthesia for Procedures on the Upper Leg (Except Knee)CPT cpt-01200-anesthesia-closed-hip-procedure
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    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.

    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

    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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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    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 CodeDescriptionRelationship to This Procedure
    01202Under Anesthesia for Procedures on the Upper Leg (Except Knee) – arthroscopic procedure of the hip joint

    Related Modifiers

    8 rows

    ModifierDescriptionWhen to Use
    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
    207LA0401X
    207LP2900X
    364SS0200X
    103TM1700X
    207ZP0102X
    174200000X
    261QR0208X

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