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    v1.0.28
    OpenPayerBilling CodesAnesthesia for Radiological ProceduresCPT cpt-01916-anesthesia-for-diagnostic-arteriography-or-venography
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    CPT 01916: Anesthesia for Diagnostic Arteriography or Venography

    Commercial payers pay $84 on average nationally for this procedure.

    CPT code 01916 describes anesthesia services provided for a patient undergoing diagnostic arteriography or venography, typically involving sedation or general anesthesia to facilitate vascular imaging; the service type is anesthesia for diagnostic vascular imaging and the typical site of service is an interventional radiology or hospital imaging suite where catheter-based arterial or venous X‑ray procedures are performed.

    For related coverage guidance, see recent payer policy updates: Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders.

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    National Reimbursement Benchmarks

    Commercial reimbursement for CPT 01916 centers around an average commercial benchmark (BUCA) of $84.20. Among national carriers, Aetna and Cigna sit above BUCA on mean rates ($145.30 and $96.50 respectively), while Blue Cross Blue Shield averages lower at $65.40 and UnitedHealth Group at $67.40. This positions BUCA near the midpoint of the national payer mix and highlights notable variation between higher-paying carriers and those clustered below the average.

    Dispersion (P75 minus P25) highlights where rates are most and least concentrated: Aetna’s interquartile spread is $118.00, Cigna’s is $58.00, Blue Cross Blue Shield’s is $36.00, UnitedHealth Group’s is $28.90, and BUCA’s is $51.00. Aetna therefore shows the widest dispersion and the greatest variability, while UnitedHealth Group is the tightest, indicating more consistent commercial contract rates around its central tendency.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 72-year-old male with known peripheral vascular disease (I73.9) and atherosclerotic disease of the aorta (I70.0) is scheduled for diagnostic arterial angiography of the lower extremities to evaluate progressive claudication and assess for stenotic lesions prior to possible endovascular intervention. The patient has a history of atherosclerotic heart disease (I25.10) and prior transient ischemic symptoms; anticoagulation is held per protocol. The clinical workflow: pre-procedure evaluation by the anesthesia team in the preoperative area, focused assessment of cardiac and vascular risk, airway and fasting status check, review of prior imaging and medications, and discussion of monitored anesthesia care or general anesthesia risks. On arrival to the angiography suite, standard monitors are applied, intravenous access is confirmed, and sedation or general anesthesia is administered per the anesthesiologist’s plan for an image-guided diagnostic arteriography. During the procedure the anesthesia provider maintains hemodynamic and respiratory stability while facilitating patient immobility and analgesia for arterial catheter manipulation and contrast injection. Post-procedure the patient is transferred to recovery with anesthesia documentation of medications given, airway management, peri-procedural events, and disposition. This scenario reflects services reported with 01916 for anesthesia for diagnostic arteriography or venography.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure

    Related Modifiers

    10 rows

    ModifierDescriptionWhen to Use
    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…
    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…
    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…
    57CPT® modifier -57 (“Decision for Surgery”) is appended to an Evaluation and Management (E/M) service when that encounter results in the initial decision to perform a major surgery (a procedure with a…- Use modifier 57 when an E/M service provided by the same provider (or same tax ID) on the day of or the day before a major surgical procedure (90‑day global period) results in the initial decision…
    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 CodeSpecialtyNotes
    207L00000XAnesthesiology PhysicianAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
    207RA0000XAdolescent Medicine (Internal Medicine) PhysicianAn internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and so…
    207RC0200XCritical Care Medicine (Internal Medicine) PhysicianAn internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for…
    207ZP0104XChemical Pathology PhysicianA chemical pathologist has expertise in the biochemistry of the human body as it applies to the understanding of the cause and progress of disease. Th…
    202C00000XIndependent Medical Examiner PhysicianA special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practiti…
    2084F0202XForensic Psychiatry PhysicianForensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and special…
    111NN0400XNeurology ChiropractorChiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a str…
    246YC3301XHospital Based Coding SpecialistNone

    Related Payer Policy Updates

    Specialty: Anesthesiology1 / 3

    7 rows

    PolicyPayerEffective Date
    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-01920-CORONARY-ANGIOGRAPHY-VENTRICULOGRAPHY-ANESTHESIA

    CPT 01920: Anesthesia for Coronary Angiography and Ventriculography

    CPT-01922-ANESTHESIA-NONINVASIVE-IMAGING-RADIATION-THERAPY

    CPT 01922: Anesthesia for Non‑Invasive Imaging or Radiation Therapy

    CPT-01924-ANESTHESIA-THERAPEUTIC-INTERVENTIONAL-ARTERIAL-PROCEDURES

    CPT 01924: Anesthesia for Therapeutic Arterial Interventional Radiology

    CPT-01925-ANESTHESIA-THERAPEUTIC-INTERVENTIONAL-RADIOLOGY-CAROTID-CORONARY

    CPT 01925: Anesthesia for Therapeutic Interventional Radiological Procedures, Carotid or Coronary

    CPT-01926-ANESTHESIA-THERAPEUTIC-ENDOVASCULAR-AORTIC-INTRACRANIAL-INTRACARDIAC

    CPT 01926: Anesthesia for Therapeutic Interventional Radiology Procedures

    CPT-01930-ANESTHESIA-VENOUS-LYMPHATIC-INTERVENTIONAL-RADIOLOGY

    CPT 01930: Anesthesia for Therapeutic Venous/Lymphatic Interventions

    CPT-01931-ANESTHESIA-INTERVENTIONAL-RADIOLOGY-INTRAHEPATIC-PORTAL

    CPT 01931: Anesthesia for Therapeutic Interventional Radiology on Intrahepatic/Portal Circulation

    CPT-01932-ANESTHESIA-INTERVENTIONAL-RADIOLOGY-JUGULAR-INTRATHORACIC-VEINS

    CPT 01932: Anesthesia for Jugular or Intrathoracic Venous Interventional Radiology

    CPT-01933-ANESTHESIA-INTRACRANIAL-INTERVENTIONAL-RADIOLOGY

    CPT 01933: Anesthesia for Intracranial Venous/Lymphatic Interventional Radiology

    CPT-01937-ANESTHESIA-CERVICAL-THORACIC-IMAGE-GUIDED-SPINE-PROCEDURES

    CPT 01937: Anesthesia for Percutaneous Cervical or Thoracic Spine Procedures

    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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    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.

    01924Anesthesia for X‑ray procedure on arteriesAlternative anesthesia code for arterial X‑ray procedures; similar service category used when site/artery differs.
    01925Anesthesia for X‑ray procedure on neck or heart arteryUsed when angiography targets neck (carotid) or coronary vasculature; specifies anatomic site.
    01926Anesthesia for X‑ray procedure on artery in brain, heart, or major vessel of chest (aorta)Used for angiography of intracranial arteries, coronary arteries, or aorta; higher complexity due to site.
    01930Anesthesia for X‑ray procedure on vein or lymph systemRelated when venography rather than arteriography is performed and anesthesia is required.
    01931Anesthesia for X‑ray procedure on liver veinSpecific venography of hepatic veins; related when study targets hepatic venous system.
    01932Anesthesia for X‑ray procedure on chest or neck veinUsed when venography involves chest or neck veins; alternative code set for venous imaging.