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    OpenPayerBilling CodesAnesthesia for Procedures on the Upper Leg (Except Knee)CPT cpt-01232-anesthesia-amputation-upper-thigh-femur
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    CPT 01232: Anesthesia for Amputation of Upper Femur

    Commercial payers pay $71 on average nationally for this procedure.

    CPT code 01232 describes anesthesia services provided for an amputation or removal of the leg at the upper two thirds of the femur (thigh) and represents intraoperative anesthesia care for an open major lower-extremity amputation; typical service type is anesthesia for major lower-extremity surgery and the usual site of service is an inpatient operating room or surgical suite for a high-complexity amputation procedure.

    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

    BUCA’s average commercial rate for CPT 01232 sits at $71.00, representing a middle point in the national landscape. Among individual payers, Cigna posts the highest mean at $96.50 while Blue Cross Blue Shield’s mean is $64.80, Aetna’s mean is $67.40, and UnitedHealth Group’s mean is $67.60. This spread places BUCA slightly above BCBS and on par with Aetna/UnitedHealth Group in average payment level, with Cigna notably higher than the other listed commercial payers.

    Dispersion measured as the interquartile difference (P75 minus P25) varies materially: Aetna’s IQR is $48.70, Blue Cross Blue Shield’s is $36.40, BUCA’s is $45.30, Cigna’s is $58.60, and UnitedHealth Group’s is $29.00. UnitedHealth Group exhibits the tightest interquartile spread at $29.00, indicating the least mid-distribution variability, while Cigna is the widest at $58.60, showing the greatest variability across commercial contracts.

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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 male with end-stage peripheral vascular disease and severe osteomyelitis of the proximal femur is scheduled for a transfemoral (above-knee) amputation at the upper two-thirds of the femur. The patient has a history of bilateral knee osteoarthritis with a prior right total knee arthroplasty (Z96.651) and chronic opioid use for lower-extremity pain. Preoperative evaluation by the anesthesiology team documents coronary artery disease (ASA P3) and diabetes. Anesthesia planning includes discussion of general endotracheal anesthesia with possible peripheral nerve catheter placement for postoperative analgesia. The certified registered nurse anesthetist (CRNA) or anesthesiologist documents medical history, airway assessment, consent for anesthesia, and planned intraoperative monitoring. Intraoperatively, the anesthesia team manages induction, hemodynamic stability during major blood loss and limb removal, and coordinates with surgery for immediate stump management. Postoperatively, patients are transferred to the post-anesthesia care unit (PACU) for respiratory and hemodynamic monitoring and pain control; considerations include regional blockade continuation, anticoagulation status, and rehabilitation planning for prosthesis evaluation when healed.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    01230Anesthesia for Procedures on the Upper Leg (Except Knee) (open procedure)

    Related Modifiers

    7 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…
    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
    367500000X
    1223S0112X
    208VP0014X
    225800000X
    163WX1500X
    332BD1200X

    Related ICD-10-CM Codes

    6 rows

    ICD-10-CM CodeDescription
    Z96.651Presence of right artificial knee joint
    Z96.652Presence of left artificial knee joint
    M17.0Bilateral primary osteoarthritis of knee
    M17.10Unilateral primary osteoarthritis, unspecified knee
    M17.11Unilateral primary osteoarthritis, right knee
    M17.12Unilateral primary osteoarthritis, left knee

    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-01200-ANESTHESIA-CLOSED-HIP-PROCEDURE

    CPT 01200: Anesthesia for Closed Procedure on Hip Joint

    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-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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    Applicable for other open surgical procedures on the proximal femur/upper leg; used when anatomy or procedure differs from standard transfemoral amputation.
    01234Anesthesia for Procedures on the Upper Leg (Except Knee) (radical resection)Used for more extensive radical resections of upper leg soft tissue or bone; may be selected when the procedure involves wider resection than a standard amputation.