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    v1.0.30
    OpenPayerBilling CodesAnesthesia for Procedures on the Lower Leg (Below Knee)CPT cpt-01462-anesthesia-closed-procedures-lower-leg-ankle-foot
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    CPT 01462: Anesthesia for Closed Procedures on Lower Leg, Ankle, Foot

    Commercial payers pay $85 on average nationally for this procedure.

    CPT code 01462 describes anesthesia services provided for a patient undergoing a closed procedure of the lower leg, ankle, and foot; this code represents perioperative anesthesia care for such closed orthopedic or soft-tissue procedures. The service type is anesthesia for closed lower extremity procedures, and the typical site of service is an operating room or procedure suite where lower leg, ankle, or foot surgeries are performed under general or regional anesthesia.

    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

    Commercial reimbursement for CPT 01462 centers near the BUCA average commercial rate of $85.00, with notable variation by carrier. Cigna and Aetna sit above BUCA on mean rates ($105 and $91.40 respectively), while UnitedHealth Group and Blue Cross Blue Shield are below it ($68.30 and $81.90). Blue Cross Blue Shield and UnitedHealth Group have lower upper bounds on their distributions relative to Cigna and Aetna.

    Dispersion measured as P75 minus P25 is widest for Cigna at $62.00 (P75 $139.00 minus P25 $73.10), followed by Aetna at $68.50 (P75 $113.70 minus P25 $45.00) — indicating broader variability in commercial contract levels. The tightest interquartile spread is UnitedHealth Group at $31.40 (P75 $81.40 minus P25 $52.00), with Blue Cross Blue Shield and BUCA intermediate at $47.80 and $51.20 respectively.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 34-year-old male presents to the emergency department after a fall while playing soccer. Imaging demonstrates a displaced closed fracture of the upper end of the right tibia (S82.101A) and a nondisplaced closed fracture of the shaft of the left fibula (S82.202A). The orthopedic team schedules the patient for closed reduction and percutaneous fixation of the right proximal tibial fracture and closed reduction with casting of the left fibular shaft. The anesthesiology team is requested to provide anesthesia for closed procedures of the lower leg, ankle, and foot under code 01462.

    The typical clinical workflow: preoperative evaluation by the anesthesia provider (history, airway assessment, ASA physical status assignment), informed consent for anesthesia, preoperative medication and monitoring placement, administration of general anesthesia or monitored anesthesia care with regional anesthesia (e.g., peripheral nerve block) as appropriate, intraoperative anesthetic management and physiological monitoring, emergence and handoff to post-anesthesia care unit (PACU) with documented postoperative pain plan and complications surveillance. Documentation includes the procedure performed, anesthesia technique, timing (start/stop), airway management, intraoperative events, and postoperative disposition.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure

    Related Modifiers

    9 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…
    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…
    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…
    59Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
    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…
    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…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    207L00000X
    367500000X
    207RA0401X
    126800000X
    2086H0002X
    2080P0216X
    101YS0200X
    193200000X

    Related ICD-10-CM Codes

    30 rows

    ICD-10-CM CodeDescription
    E11.621Type 2 diabetes mellitus with foot ulcer
    G57.61Lesion of plantar nerve, right lower limb
    I73.9Peripheral vascular disease, unspecified
    L97.323Non-pressure chronic ulcer of left ankle with necrosis of muscle
    M16.11Unilateral primary osteoarthritis, right hip
    M17.11Unilateral primary osteoarthritis, right knee
    M17.12Unilateral primary osteoarthritis, left knee
    M20.11Hallux valgus (acquired), right foot
    M20.20Hallux rigidus, unspecified foot
    M25.571Pain in right ankle and joints of right foot

    Showing 1–10 of 30

    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-01464-ANKLE-FOOT-ARTHROSCOPY-ANESTHESIA

    CPT 01464: Anesthesia for Ankle/Foot Arthroscopic Procedure

    CPT-01470-ANESTHESIA-LOWER-LEG-ANKLE-FOOT-SOFT-TISSUE-PROCEDURE

    CPT 01470: Anesthesia for Lower Leg, Ankle, and Foot Soft-Tissue Procedures

    CPT-01472-LOWER-LEG-ANKLE-FOOT-TENDON-ANESTHESIA-ACHILLES-REPAIR

    CPT 01472: Anesthesia for Lower Leg/Ankle/Foot (Achilles Repair)

    CPT-01474-ANESTHESIA-LOWER-LEG-ANKLE-FOOT-SOFT-TISSUE-PROCEDURES

    CPT 01474: Anesthesia for Lower Leg/Ankle/Foot Soft-Tissue Procedures

    CPT-01480-ANESTHESIA-OPEN-LOWER-LEG-ANKLE-FOOT-BONE-PROCEDURE

    CPT 01480: Anesthesia for Open Lower Leg, Ankle, and Foot Procedures

    CPT-01482-ANESTHESIA-LOWER-LEG-ANKLE-FOOT-RADICAL-RESECTION

    CPT 01482: Anesthesia for Lower Leg, Ankle, and Foot Procedures

    CPT-01484-ANESTHESIA-OSTEOTOMY-OSTEOPLASTY-TIBIA-FIBULA

    CPT 01484: Anesthesia for Tibia/Fibula Osteotomy or Osteoplasty

    CPT-01486-TOTAL-ANKLE-REPLACEMENT-ANESTHESIA

    CPT 01486: Anesthesia for Total Ankle Replacement

    CPT-01490-ANESTHESIA-LOWER-LEG-CAST-APPLICATION-REMOVAL-REPAIR

    CPT 01490: Anesthesia for Lower Leg Cast Application/Removal/Repair

    CPT-01500-LOWER-LEG-ARTERIAL-BYPASS-ANESTHESIA

    CPT 01500: Anesthesia for Lower Leg Arterial Bypass Graft

    Showing 1–10 of 13

    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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    01464
    Anesthesia for open procedures on bones of lower leg, ankle, and foot; total ankle replacement
    Related for open bony procedures; used when a conversion to open fixation or an open procedure is performed instead of closed technique.
    01470Anesthesia for procedures on lower leg, ankle, and foot; closed procedures on bones of lower leg, ankle, and footClosely related: alternative anesthesia code for closed bone procedures of lower leg/ankle/foot; selection depends on specific procedural details and coding guidance.
    01480Anesthesia for procedures on lower leg, ankle, and foot; procedures on nerves, muscles, tendons, fascia, and bursae of lower leg, ankle, and footUsed when soft-tissue procedures (tendon repair, nerve decompression) are the primary surgical focus rather than bony closed procedures.
    20680Removal of implant; deep (e.g., buried wire, pin, screw, metal band, nail, rod or plate)May be performed in the same episode of care; anesthesia services coded separately for implant removal if performed on lower leg/ankle/foot.