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    v1.0.30
    OpenPayerBilling CodesAnesthesia for Procedures on the Upper Arm and ElbowCPT cpt-01714-upper-arm-elbow-tenoplasty-anesthesia
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    CPT 01714: Anesthesia for Tenoplasty, Upper Arm and Elbow

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

    CPT code 01714 describes anesthesia services provided for surgical procedures on the nerves, muscles, tendons, fascia, and bursae of the upper arm and elbow, specifically for a tenoplasty (repair or reconstruction of a tendon); service type: anesthesia for upper arm/elbow soft-tissue tendon repair; typical site of service: hospital operating room or ambulatory surgery center where upper arm and elbow tendon procedures are performed.

    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 rates for CPT 01714 cluster around BUCA’s average commercial rate of $76.30, with notable variation by payer. Blue Cross Blue Shield shows a relatively tight middle spread (P75–P25 = $35.70), while UnitedHealth Group and Aetna exhibit moderate dispersion (UnitedHealth Group range = $29.00; Aetna range = $76.50). Cigna’s middle 50% is wider (range = $58.60), indicating greater variability among commonly observed commercial rates.

    Maximums and minimums further emphasize dispersion differences: Aetna’s maximum of $341.20 creates a long upper tail compared with other payers, while UnitedHealth Group’s upper bound is $122.70. Blue Cross Blue Shield and BUCA sit closer to the center of the national distribution, with BUCA’s mean at $76.30 and Blue Cross Blue Shield’s mean at $64.50, positioning them near the market midline.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 62-year-old right-hand–dominant male with chronic lateral elbow pain and progressive weakness presents for surgical tenoplasty of the distal biceps and repair of diseased tendon tissue between the elbow and shoulder. The orthopedic surgeon schedules an open tenoplasty under general anesthesia with regional block for postoperative analgesia. Preoperative evaluation by the anesthesia team documents ASA physical status P2 for well-controlled hypertension and osteoarthritis of the knee with prior right total knee arthroplasty (Z96.651). The procedure is performed in an outpatient ambulatory surgery center; intraoperative monitoring includes standard ASA monitors and peripheral nerve block localization. The anesthesiologist administers a brachial plexus block with adjunct general anesthesia for airway control and administers perioperative multimodal analgesics. Postoperative recovery includes monitoring in the PACU and discharge when anesthesia criteria are met.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    01712Anesthesia for procedures on the nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenotomy, elbow to shoulder.Alternative anesthesia code when the specific surgical procedure is tenotomy rather than tenoplasty; selected when operative CPT corresponds to tenotomy.

    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…
    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
    367500000X
    261QD0000X
    207RT0003X
    175F00000X
    364SC2300X
    2278G0305X

    Related ICD-10-CM Codes

    28 rows

    ICD-10-CM CodeDescription
    G56.01Carpal tunnel syndrome, right upper limb
    G56.02Carpal tunnel syndrome, left upper limb
    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
    M19.011Primary osteoarthritis, right shoulder
    M19.012Primary osteoarthritis, left shoulder
    M23.211Derangement of anterior horn of medial meniscus due to old tear or injury, right knee
    M24.221Disorder of ligament, right elbow

    Showing 1–10 of 28

    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-01710-UPPER-ARM-ELBOW-ANESTHESIA-SOFT-TISSUE-PROCEDURES

    CPT 01710: Anesthesia for Upper Arm and Elbow Procedures

    CPT-01712-ANESTHESIA-OPEN-TENOTOMY-ELBOW-TO-SHOULDER

    CPT 01712: Anesthesia for Open Tenotomy, Elbow to Shoulder

    CPT-01716-ANESTHESIA-UPPER-ARM-ELBOW-TENODESIS-BICEPS-RUPTURE

    CPT 01716: Anesthesia for Tenodesis, Long Biceps Tendon (Upper Arm/Elbow)

    CPT-01730-ANESTHESIA-CLOSED-PROCEDURE-HUMERUS-ELBOW

    CPT 01730: Anesthesia for Closed Procedure on Humerus or Elbow

    CPT-01732-ELBOW-DIAGNOSTIC-ARTHROSCOPY-ANESTHESIA

    CPT 01732: Anesthesia for Diagnostic Elbow Arthroscopy

    CPT-01740-ANESTHESIA-ELBOW-OPEN-ARTHROSCOPIC-PROCEDURE

    CPT 01740: Anesthesia for Open or Arthroscopic Elbow Procedure

    CPT-01742-ANESTHESIA-OSTEOTOMY-HUMERUS-UPPER-ARM

    CPT 01742: Anesthesia for Humerus Osteotomy

    CPT-01744-ANESTHESIA-FOR-HUMERUS-NONUNION-MALUNION-REPAIR

    CPT 01744: Anesthesia for Humerus Nonunion/Malunion Repair

    CPT-01756-ELBOW-RADICAL-SURGERY-ANESTHESIA

    CPT 01756: Anesthesia for Radical Elbow Surgery

    CPT-01758-ANESTHESIA-EXCISION-CYST-TUMOR-HUMERUS

    CPT 01758: Anesthesia for Excision of Cyst or Tumor of Humerus

    Showing 1–10 of 15

    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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    01716Anesthesia for procedures on the nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenodesis, rupture of long tendon of biceps.Used when the surgical procedure is tenodesis of the biceps tendon; relevant if intraoperative findings change the planned procedure from tenoplasty to tenodesis.