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    v1.0.31
    OpenPayerBilling CodesAnesthesia for Procedures on the Lower Leg (Below Knee)CPT cpt-01464-ankle-foot-arthroscopy-anesthesia
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    CPT 01464: Anesthesia for Ankle/Foot Arthroscopic Procedure

    Commercial payers pay $94 on average nationally for this procedure.

    CPT code 01464 describes anesthesia services provided for a patient undergoing an arthroscopic procedure of the ankle and/or foot, typically delivered as intraoperative general or regional anesthesia in an operating room or ambulatory surgery center setting for operative foot and ankle arthroscopy.

    For related coverage guidance, see recent payer policy updates: Surgical Site of Care - Hospital Outpatient, Dental Anesthesia Services, Dental Anesthesia Services.

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    National Reimbursement Benchmarks

    For CPT 01464, the BUCA commercial average sits at $93.60 and serves as a reference point within a varied commercial market. Blue Cross Blue Shield shows a relatively tight interquartile spread (P75–P25) of $44.10, while UnitedHealth Group is similarly constrained with a spread of $31.40; both indicate narrower mid‑range variability compared with other payers. Cigna’s spread is $61.0 and Aetna’s is $141.0, the latter reflecting the widest dispersion among listed payers and signaling substantial variability at the upper end of national commercial rates.

    Comparing central tendencies, Cigna and Aetna have higher median and mean levels than Blue Cross Blue Shield and UnitedHealth Group, with BUCA’s mean falling between the major commercial plans at $93.60. The contrast in interquartile ranges — tightest for UnitedHealth Group and Blue Cross Blue Shield, widest for Aetna — highlights where commercial rate consistency is stronger versus where variability could affect expected reimbursement outcomes.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 56-year-old patient presents with chronic ankle pain and mechanical symptoms after a sports injury; imaging shows a labral tear and osteochondral lesion of the talar dome. The orthopedic surgeon schedules a unilateral ankle arthroscopy for debridement and repair under monitored general anesthesia with peripheral nerve block for postoperative analgesia. Preoperative evaluation by the anesthesia team documents ASA classification P2 for controlled hypertension. The clinical workflow includes preoperative assessment and consent, placement of standard monitors, induction of general anesthesia, ultrasound-guided popliteal sciatic nerve block for intra- and post-operative analgesia, intraoperative management of airway and hemodynamics during the arthroscopic procedure, emergence and transfer to the post-anesthesia care unit (PACU), and postoperative pain control planning and documentation of the anesthetic record and any intraoperative complications.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    01462Anesthesia for all closed procedures on lower leg, ankle, and footApplicable for closed/minimally invasive ankle procedures; alternative anesthesia code when specific arthroscopy code not used.

    Related Modifiers

    9 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…
    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…
    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
    367H00000X
    367500000X
    209800000X
    207XX0004X
    163W00000X
    332900000X

    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
    M17.10Unilateral primary osteoarthritis, unspecified knee
    M17.11Unilateral primary osteoarthritis, right knee
    M17.12Unilateral primary osteoarthritis, left knee
    M17.5Other unilateral secondary osteoarthritis of knee

    Related Payer Policy Updates

    Specialty: Anesthesiology1 / 3

    10 rows

    PolicyPayerEffective Date
    Surgical Site of Care - Hospital Outpatientregence2026-11-01
    Dental Anesthesia ServicesProvidence Health Plan2026-10-01
    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

    Related Codes

    CPT-01462-ANESTHESIA-CLOSED-PROCEDURES-LOWER-LEG-ANKLE-FOOT

    CPT 01462: Anesthesia for Closed Procedures on Lower Leg, Ankle, Foot

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

    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.

    01470
    Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not otherwise specified
    Used for peripheral nerve or soft tissue procedures of the ankle/foot where arthroscopy code 01464 is not appropriate.
    01472Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; repair of ruptured Achilles tendon, with or without graftRelevant when Achilles tendon repair is performed in conjunction with or instead of ankle arthroscopy; indicates different surgical site and anesthetic planning.
    01474Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; gastrocnemius recession (eg, Strayer procedure)Used when gastrocnemius recession is performed during the same operative episode requiring distinct anesthetic considerations.
    01480Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specifiedApplicable when conversion to open bone procedures occurs during arthroscopy or when open bone surgery is planned.
    01482Anesthesia for open procedures on bones of lower leg, ankle, and foot; radical resection (including below knee amputation)Used for extensive open procedures beyond arthroscopy; may be relevant for staging or unexpected intraoperative findings.
    01484Anesthesia for open procedures on bones of lower leg, ankle, and foot; osteotomy or osteoplasty of tibia and/or fibulaRelevant when corrective bony procedures of the tibia/fibula accompany ankle surgery.
    01486Anesthesia for open procedures on bones of lower leg, ankle, and foot; total ankle replacementApplicable when an arthroscopic case converts to or is performed with total ankle arthroplasty requiring a different anesthesia classification.
    01490Anesthesia for lower leg cast application, removal, or repairRelevant to postoperative immobilization procedures requiring anesthesia services in the perioperative period.