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    v1.0.30
    OpenPayerBilling CodesAnesthesia for Procedures on the Lower Leg (Below Knee)CPT cpt-01482-anesthesia-lower-leg-ankle-foot-radical-resection
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    CPT 01482: Anesthesia for Lower Leg, Ankle, and Foot Procedures

    Commercial payers pay $83 on average nationally for this procedure.

    CPT code 01482 describes anesthesia services provided for procedures on the bones of the lower leg, ankle, and foot, specifically including radical resections such as below-knee amputation; the service type is anesthesia for major lower-extremity bone surgery, typically delivered in an inpatient or ambulatory surgical center operating room setting.

    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

    National commercial reimbursement centers on BUCA’s average commercial rate of $82.70, with individual payers showing distinct central tendencies and dispersion. Blue Cross Blue Shield’s interquartile spread (P75–P25) is $50.90 ($102.30–$51.90), Aetna’s spread is $93.10 ($138.60–$45.00), Cigna’s spread is $40.40 ($108.10–$67.60), and UnitedHealth Group’s spread is $28.90 ($80.90–$52.00). These spreads indicate that UnitedHealth Group and Cigna exhibit the tightest pricing bands around their medians, while Aetna demonstrates the widest middle-50% variability, suggesting greater commercial rate dispersion within that payer.

    Beyond dispersion, central values vary: Cigna’s median of $84.40 and BUCA’s mean of $82.70 are closely aligned, while Aetna and Blue Cross Blue Shield show higher upper tails (Aetna max $421.70; Blue Cross Blue Shield max $209.10) relative to UnitedHealth Group (max $122.70). The contrast between median/mean clustering and extreme maximums highlights that some payers have occasional high-end rates even when their interquartile ranges are moderate.

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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 patient with progressive right knee pain from advanced osteoarthritis presents for a planned below-knee amputation (radical resection) after failed conservative management and prior right total knee arthroplasty. Preoperative evaluation documents osteoarthritis of the right knee (M17.11) with pain limiting ambulation, and presence of a right artificial knee joint (Z96.651). The surgical team schedules an open radical resection of the lower leg with below-knee amputation targeting bones of the lower leg, ankle, and foot.

    The anesthesia clinical workflow includes preoperative assessment by an anesthesiologist or CRNA with airway and comorbidity evaluation, risk stratification (ASA physical status assignment), informed consent for anesthesia, and formulation of an anesthesia plan (general, regional, or combined) tailored to the patient’s cardiopulmonary status and prior joint prosthesis. On the day of surgery, intraoperative monitoring, administration of induction and maintenance agents, regional nerve block or neuraxial adjuncts if indicated, pain-control planning, and handoff to PACU with postoperative analgesia orders occur. Documentation must capture the medical necessity, anesthesia start and end times, ASA status, intraoperative events, and any qualifying circumstances requiring modifier use.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    01480

    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…
    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
    367500000X
    207RA0401X
    163W00000X
    376K00000X
    2081P0301X
    2085P0229X
    171400000X

    Related ICD-10-CM Codes

    32 rows

    ICD-10-CM CodeDescription
    E11.52Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
    E11.621Type 2 diabetes mellitus with foot ulcer
    G57.60Lesion of plantar nerve, unspecified lower limb
    G57.61Lesion of plantar nerve, right lower limb
    I70.213Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs
    I70.233Atherosclerosis of native arteries of right leg with ulceration of ankle
    I70.235Atherosclerosis of native arteries of right leg with ulceration of other part of foot
    L89.311Pressure ulcer of right buttock, stage 1
    L97.118Non-pressure chronic ulcer of right thigh with other specified severity
    L97.424Non-pressure chronic ulcer of left heel and midfoot with necrosis of bone

    Showing 1–10 of 32

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

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

    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-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 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.

    Anesthesia for open procedures on bones of lower leg, ankle, and foot
    Related anesthesia code for open procedures of the same anatomic region; may be selected when surgical approach differs from a radical resection.
    01484Anesthesia for procedures on bones of lower leg, ankle, and foot; osteotomy or osteoplasty of tibia and/or fibulaUsed when the surgical procedure is an osteotomy/osteoplasty rather than radical resection; alternative related anesthesia code in workflow.