Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerBilling CodesAnesthesia for Radiological ProceduresCPT cpt-01920-coronary-angiography-ventriculography-anesthesia
    Ask Trek AI about this page

    CPT 01920: Anesthesia for Coronary Angiography and Ventriculography

    Commercial payers pay $78 on average nationally for this procedure.

    CPT code 01920 describes anesthesia services provided for a patient undergoing coronary angiography with ventriculography (without Swan–Ganz catheterization); this represents intraoperative anesthesia care for diagnostic cardiac catheterization procedures and is typically performed in an angiography/catheterization lab or cardiac catheterization suite where monitored anesthesia care or general/regional anesthesia is delivered for cardiovascular diagnostic imaging.

    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.

    Customize your policy alerts

    Sign up for cpt 01920 policy alerts

    Get alerted when payer policies referencing 01920 are released or updated.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    National Reimbursement Benchmarks

    Commercial rates for CPT 01920 cluster around BUCA’s average commercial rate of $77.80, which serves as a mid-market reference. Among named payers, Aetna shows the highest mean ($117.80) and the broadest high-end values, while Blue Cross Blue Shield averages lower ($62.40) and UnitedHealth Group sits near BUCA at $67.30. Cigna’s mean ($94.20) is above the BUCA average, indicating a generally higher reimbursement tier for that carrier.

    Dispersion measured as P75 minus P25 reveals variability: Aetna has a spread of $108.00 ($152.80 - $45.00), Cigna $54.40 ($121.20 - $68.00), Blue Cross Blue Shield $33.90 ($77.70 - $42.80), BUCA $50.20 ($98.00 - $48.80), and UnitedHealth Group $25.30 ($80.90 - $51.60). UnitedHealth Group is the tightest payer and Aetna the widest in this set.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools
    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 67-year-old male with hypertension and known coronary artery disease is admitted for evaluation of progressive exertional chest pressure. Noninvasive testing is inconclusive and the cardiology team schedules invasive coronary angiography with left ventriculography to assess coronary anatomy and left ventricular function. The patient arrives to a cardiac catheterization suite in an outpatient hospital setting. Preoperative evaluation by the anesthesia team documents American Society of Anesthesiologists (ASA) physical status P3 due to prior myocardial infarction and controlled heart failure. Monitors are applied, intravenous access is confirmed, and sedation with monitored anesthesia care (MAC) is planned to maintain patient comfort and hemodynamic stability during femoral arterial access, coronary contrast injections, and ventriculography. Anesthesia services include airway assessment, sedation titration, hemodynamic monitoring, vasoactive medication availability, and readiness for conversion to general anesthesia if needed. The procedure does not include Swan–Ganz (pulmonary artery) catheter placement. Postprocedure recovery occurs in a monitored PACU or cardiac observation area with anesthesia handoff and documentation of airway status, medications administered, hemodynamics, and any complications.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    01916Anesthesia for diagnostic arteriography/venography

    Related Modifiers

    8 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…
    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…
    76Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
    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…
    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…

    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…
    207RC0000XCardiovascular Disease PhysicianAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threaten…
    261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities · Clinic/Center
    2279G0305XGeriatric Care Registered Respiratory TherapistCare of older patients who have age and/or disease related decremental pulmonary changes. Diagnosis and treatment is very important for this group si…
    207WX0108XUveitis and Ocular Inflammatory Disease (Ophthalmology) PhysicianAn ophthalmologist who specializes in the treatment of intraocular inflammation, scleritis, keratitis and infectious disorders affecting the eye and i…
    261QP2300XPrimary Care Clinic/CenterAmbulatory Health Care Facilities · Clinic/Center
    364SN0000XNeonatal Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist

    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-01916-ANESTHESIA-FOR-DIAGNOSTIC-ARTERIOGRAPHY-OR-VENOGRAPHY

    CPT 01916: Anesthesia for Diagnostic Arteriography or Venography

    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.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    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.

    Related anesthesia code used for other vascular diagnostic catheterization procedures; may be reported when procedure differs in anatomic focus.
    01922Anesthesia for non‑invasive imaging/radiation therapyRelated when anesthesia is provided for imaging procedures that are noninvasive rather than invasive catheterization; included for coding clarification and differentiation.