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    v1.0.30
    OpenPayerBilling CodesAnesthesia for Procedures on the Upper Arm and ElbowCPT cpt-01740-anesthesia-elbow-open-arthroscopic-procedure
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    CPT 01740: Anesthesia for Open or Arthroscopic Elbow Procedure

    Commercial payers pay $93 on average nationally for this procedure.

    CPT code 01740 describes anesthesia services provided for an open or surgical arthroscopic procedure of the elbow, typically delivered as general or regional anesthesia in an operating room or ambulatory surgical center for surgical management of elbow pathology.

    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 as a proxy for average commercial rates, which here sits at a mean of $93.40 with a median (P50) of $80.20. Blue Cross Blue Shield (BCBS) and UnitedHealth Group show relatively compressed interquartile spreads: BCBS P75–P25 is $51.00 (P75 $102.30 minus P25 $51.30) and UnitedHealth Group P75–P25 is $30.90 (P75 $81.10 minus P25 $51.20), indicating tighter clustering of contractual rates around their medians. Cigna’s interquartile spread is $40.80 (P75 $107.50 minus P25 $66.70), while Aetna shows a wider spread of $167.00 (P75 $233.60 minus P25 $66.60).

    Aetna also exhibits the largest overall dispersion with a max of $576.20 and a min of $30.40, reflecting significant variability at the tails beyond the interquartile range. Cigna and BUCA sit near the mid-range of means ($91.20 and $93.40 respectively) and medians, while BCBS and UnitedHealth Group have lower medians ($67.00 and $64.00) and tighter IQRs, suggesting more predictable commercial payments for those payers compared with Aetna’s broad variation.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 45-year-old patient presents with persistent lateral elbow pain, mechanical catching, and decreased range of motion after a traumatic elbow injury. Imaging (MRI) suggests a radial head cartilage lesion and suspected torn lateral collateral ligament complex requiring surgical intervention. The orthopedic surgeon schedules an open or arthroscopic elbow procedure for diagnostic evaluation, debridement, and possible ligament repair. The anesthesia team evaluates the patient preoperatively in the ambulatory surgery center one day before surgery, documents ASA physical status, reviews medications and allergies, and obtains informed consent for general anesthesia with possible regional block. On the day of surgery the anesthesiologist or CRNA provides induction, airway management, intraoperative anesthetic maintenance, monitoring, hemodynamic management, and immediate postoperative emergence and handoff to PACU nursing staff. Typical workflow includes pre-anesthesia assessment, intraoperative anesthesia for the open or arthroscopic elbow procedure, application of monitored anesthesia care as needed, and postoperative evaluation until discharge criteria are met. Typical site of service is an ambulatory surgery center or hospital outpatient surgical suite.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    01732Under anesthesia for procedures on the upper arm and elbow. The provider performs anesthesia services for a diagnostic arthroscopic procedure of the elbow.Used when the procedure is diagnostic arthroscopy of the elbow rather than an open arthrotomy; alternative anesthesia code for arthroscopic-only cases.

    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…
    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…
    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…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    207L00000X
    367500000X
    207RA0401X
    385HR2060X
    364SP0809X
    208000000X
    373H00000X
    2279P1005X

    Related ICD-10-CM Codes

    5 rows

    ICD-10-CM CodeDescription
    S83.241AOther tear of medial meniscus, current injury, right knee, initial encounter
    S83.242AOther tear of medial meniscus, current injury, left knee, initial encounter
    M17.11Unilateral primary osteoarthritis, right knee
    M17.12Unilateral primary osteoarthritis, left knee
    M23.50Chronic instability of knee, unspecified knee

    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-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-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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    01742Under anesthesia for procedures on the upper arm and elbow. The provider performs anesthesia services for a patient undergoing osteotomy of the humerus.Related when a more extensive humeral osteotomy is performed concurrently or as part of complex elbow reconstruction requiring different anesthesia complexity.
    01744Under anesthesia for procedures on the upper arm and elbow. The provider performs anesthesia services for a patient undergoing open or arthroscopic repair of nonunion or malunion of the humerus.Applicable when the surgical plan involves repair of humeral nonunion/malunion in the same operative session, representing a different operative focus and anesthesia planning.