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    v1.0.30
    OpenPayerBilling CodesAnesthesia for Procedures on the Upper Arm and ElbowCPT cpt-01730-anesthesia-closed-procedure-humerus-elbow
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    CPT 01730: Anesthesia for Closed Procedure on Humerus or Elbow

    Commercial payers pay $91 on average nationally for this procedure.

    CPT code 01730 describes anesthesia services provided for a closed procedure on the humerus (upper arm bone) and elbow; this represents intraoperative anesthesia care during a closed reduction or other non‑open procedure involving the humerus or elbow. The service type is anesthesia for orthopedic closed procedures, and the typical site of service is an operating room or procedure suite where closed reductions or similar orthopedic interventions are performed under 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 rates for CPT 01730 center on BUCA’s average commercial rate of $91.20 as a reference for the market. Among the named payers, Blue Cross Blue Shield shows relatively compressed dispersion (P75–P25 = $48.80), while UnitedHealth Group is the tightest with a dispersion of $31.00. Cigna’s spread is wider at $61.00, and Aetna displays the broadest variability at $121.60, reflecting substantial divergence between lower and upper quartile network payments.

    Median and mean levels vary: Blue Cross Blue Shield and UnitedHealth Group sit below BUCA’s average on mean and median measures, while Cigna and Aetna are at or above BUCA’s mean. The P90–P25 perspective likewise highlights Aetna and Cigna as having extended tails toward higher commercial rates, suggesting more upside variability compared with the more constrained distributions for Blue Cross Blue Shield and UnitedHealth Group.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Clinical & Coding Specifications

    Clinical Context

    A 45-year-old male presents to the orthopedic surgery service with acute displaced mid-shaft humeral fracture after a fall from a ladder. The orthopedic surgeon schedules a closed reduction and internal fixation of the humerus under general anesthesia. The anesthesia team evaluates the patient preoperatively, documents airway assessment, ASA physical status, allergies, medications, and obtains informed consent for anesthesia. On the day of surgery the patient is transported to the operating room, standard monitors are applied, and induction of general anesthesia with endotracheal intubation is performed. Anesthesia services are provided continuously from induction through emergence and immediate postoperative recovery for the closed procedure on the humerus and elbow. Intraoperative events (e.g., hemodynamic instability, need for transfusion, or regional nerve block) are documented. Post-anesthesia care includes monitoring in the PACU until criteria for discharge are met and handoff to the orthopedic inpatient or outpatient recovery team is completed. Billing uses 01730 to report anesthesia for the closed procedure on the humerus and elbow, with appropriate ASA, time units, and any applicable modifiers recorded on the claim.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    01732Anesthesia for diagnostic arthroscopic procedures of elbow jointUsed when the surgical approach is arthroscopic rather than a closed open-reduction; documents anesthesia for elbow arthroscopy and is a closely related anesthesia code.

    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
    207LA0401X
    207LP2900X
    207LH0002X
    163WI0600X
    367500000X
    174H00000X
    207ZP0105X

    Related ICD-10-CM Codes

    25 rows

    ICD-10-CM CodeDescription
    M19.011Primary osteoarthritis, right shoulder
    M19.012Primary osteoarthritis, left shoulder
    M25.221Flail joint, right elbow
    M25.222Flail joint, left elbow
    M84.351AStress fracture, right femur, initial encounter for fracture
    M84.352AStress fracture, left femur, initial encounter for fracture
    M84.353AStress fracture, unspecified femur, initial encounter for fracture
    M84.451APathological fracture, right femur, initial encounter for fracture
    M84.452APathological fracture, left femur, initial encounter for fracture
    M84.453APathological fracture, unspecified femur, initial encounter for fracture

    Showing 1–10 of 25

    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-01714-UPPER-ARM-ELBOW-TENOPLASTY-ANESTHESIA

    CPT 01714: Anesthesia for Tenoplasty, Upper Arm and Elbow

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

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