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    OpenPayerBilling CodesAnesthesia for Procedures on the Upper Leg (Except Knee)CPT cpt-01270-anesthesia-upper-leg-arterial-bypass-graft
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    CPT 01270: Anesthesia for Upper Leg Arterial Bypass Graft

    Commercial payers pay $76 on average nationally for this procedure.

    CPT code 01270 describes anesthesia services provided for a patient undergoing a surgical procedure on the arteries of the upper leg that includes placement of a bypass graft; service type: anesthesia for vascular surgery of the upper leg (arterial bypass) and typical site of service: operating room or procedure suite in an inpatient or outpatient surgical setting.

    For related coverage guidance, see recent payer policy updates: Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders.

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    National Reimbursement Benchmarks

    Commercial reimbursement for CPT 01270 centers near BUCA’s average commercial rate of $76.40, with notable variation across national payers. Blue Cross Blue Shield shows a relatively tight interquartile spread of $33.40 (P75 $77.40 minus P25 $43.00), and UnitedHealth Group similarly displays a modest spread of $29.10 (P75 $80.40 minus P25 $51.30), indicating more concentrated commercial rates. Cigna’s IQR is $52.20 (P75 $120.00 minus P25 $67.80), while Aetna exhibits the widest dispersion at $93.30 (P75 $143.70 minus P25 $45.00), signaling broader negotiated variability among those carriers.

    Payers also differ in median and mean positions relative to BUCA’s $76.40 benchmark: Cigna’s median of $85.70 sits above BUCA, UnitedHealth Group’s median of $63.50 and Blue Cross Blue Shield’s median of $53.50 fall below, and Aetna’s median of $73.50 is close to BUCA. These contrasts highlight that average commercial outcomes near BUCA can mask either concentrated pricing (Blue Cross Blue Shield, UnitedHealth Group) or wide variability (Aetna, Cigna) across the national landscape.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 68-year-old male with peripheral arterial disease presents with lifestyle-limiting claudication and an occlusion of the femoral artery on the right side identified by duplex ultrasound and angiography. The vascular surgery team schedules an open femoral-popliteal bypass graft placement on the right upper leg. The anesthesia team evaluates the patient preoperatively in the pre-anesthesia clinic, documents cardiovascular and pulmonary risk, reviews medications including anticoagulants, and obtains informed consent for general or regional anesthesia. On the day of surgery, the patient arrives to an accredited hospital operating room. Standard ASA monitoring is applied, intravenous access is established, and appropriate antibiotic prophylaxis and heparinization per vascular protocol are confirmed. The anesthesia provider administers general endotracheal anesthesia with invasive arterial monitoring and central venous access available if needed. Intraoperative management focuses on hemodynamic stability during cross-clamping, analgesia, blood loss replacement, and anticoagulation reversal as indicated. Postoperative handoff is provided to the PACU or ICU with specific instructions about limb perfusion monitoring, analgesia plan, and anticoagulation management. Documentation includes the preoperative evaluation, anesthesia record, intraoperative events (blood loss, fluids, vasoactive drugs), and a postoperative note describing recovery and any complications.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    01260Anesthesia for procedures on the upper leg (except knee) (veins)

    Related Modifiers

    8 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…
    56Modifier ‑56 indicates the reporting provider furnished only the preoperative management for a surgical procedure and did not perform the intraoperative or postoperative care. It is used in…- Use Modifier -56 when a provider performs only the preoperative management in a split‑care situation (one physician manages preop care while a different physician performs the intraoperative…
    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 CodeSpecialtyNotes
    207L00000XAnesthesiology PhysicianAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
    207LA0401XAddiction Medicine (Anesthesiology) PhysicianAn anesthesiologist who specializes in the diagnosis and treatment of addictions.
    207LP2900XPain Medicine (Anesthesiology) PhysicianAn anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chr…
    246QH0600XHistology Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers · Specialist/Technologist, Pathology
    246ZG0701XGraphics Methods Specialist/TechnologistNone
    207YS0012XSleep Medicine (Otolaryngology) PhysicianAn Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physio…
    235500000XSpeech/Language/Hearing Specialist/TechnologistGeneral classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
    207UN0901XNuclear Cardiology PhysicianA nuclear medicine physician who specializes in nuclear cardiology.

    Related Payer Policy Updates

    Specialty: Anesthesiology1 / 3

    10 rows

    PolicyPayerEffective Date
    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
    Mm_0579_Coveragepositioncriteria_Anesthesia_Services_Selected_Nerve_BlocksCigna2026-05-15
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric DisordersBlue Cross Blue Shield - North Carolina2026-04-01
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric DisordersBlue Cross Blue Shield - North Carolina2026-04-01

    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-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

    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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    Used for anesthesia when the surgical procedure targets venous procedures of the upper leg rather than arterial bypass.
    01272Anesthesia for procedures on the upper leg (except knee) (femoral artery ligation and bypass graft placement)Closely related arterial procedure code specifying femoral artery ligation and bypass graft placement; may be used when the surgical procedure is that specific variant.
    01274Anesthesia for procedures on the upper leg (except knee) (femoral embolectomy)Used when the surgical procedure is femoral embolectomy rather than bypass; relevant to differential coding of anesthesia services for femoral artery operations.