Summary & Overview

CPT 01930: Anesthesia for Venous/Lymphatic Interventional Radiology Procedures

CPT code 01930 denotes anesthesia services rendered for therapeutic interventional radiological procedures that involve the venous or lymphatic systems. This code captures anesthesia care when no more specific anesthesia code applies and is relevant for complex image-guided vascular interventions. Nationally, accurate reporting of 01930 affects procedural coding clarity, billing consistency, and appropriate payment for anesthesia teams supporting interventional radiology.

Key payers referenced in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication outlines payer coverage considerations and common billing practices for 01930 across major commercial and federal payers.

Readers will find a concise overview of the clinical context for anesthesia during venous and lymphatic interventional radiology procedures, coding considerations tied to procedural specificity, and comparisons of payer treatment where available. The report also highlights related code interactions to avoid duplicate reporting. This information helps coding professionals and administrative leaders understand where 01930 fits within anesthesia coding workflows and payer adjudication patterns.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareCPT 01930anesthesiainterventional radiologyvenous procedureslymphatic proceduresanesthesia billingprocedure codingperioperative care

Billing Code Overview

CPT code 01930 describes anesthesia services provided for therapeutic interventional radiological procedures involving the venous/lymphatic system. This code is used when the anesthesiologist administers and manages anesthesia specifically for interventional radiology procedures that target venous or lymphatic structures and when no other more specific anesthesia code applies.

Service Type: Anesthesia for therapeutic interventional radiology (venous/lymphatic procedures)

Typical Site of Service: Interventional radiology suite or hospital-based procedure area

Clinical & Coding Specifications

Clinical Context

A 58-year-old patient with symptomatic chronic venous insufficiency and recurrent varicosities is scheduled for an interventional radiology-guided venous embolization and sclerotherapy of incompetent perforators and pelvic venous reflux. The patient has failed conservative therapy, reports worsening pain and swelling, and pre-procedure duplex ultrasound confirms target reflux. The anesthesiology team evaluates the patient preoperatively, documents ASA status and comorbidities, and plans monitored anesthesia care with possible deep sedation or conversion to general anesthesia if airway or procedure complexity demands. In the angiography suite or interventional radiology (IR) suite, vascular access is obtained, contrast venography is performed under fluoroscopic guidance, and the IR team performs embolization/ligation of abnormal pelvic/leg veins and sclerotherapy of superficial varicosities. The anesthesiologist administers appropriate sedation/anesthetic agents, manages hemodynamics, airway, and pain control, and documents intra-procedural time-based anesthesia units and any atypical events (e.g., significant blood loss, need for conversion to general anesthesia). Post-procedure, the patient is recovered in the post-anesthesia care unit (PACU) with monitoring for airway, hemodynamic stability, pain control, and potential embolic complications before discharge or admission per clinical status.

Coding Specifications

Modifier	Description	When to Use
`23`	Unusual Anesthesia	Use when general anesthesia is administered for a procedure that normally does not require general anesthesia due to unusual circumstances.
`22`	Increased Procedural Services	Use when work or complexity is substantially greater than typically required; support with documentation.
`50`	Bilateral Procedure	Use when identical procedures are performed on both sides during the same anesthetic.
`52`	Reduced Services	Use when the anesthesia service is partially reduced or not completed as originally planned.
`53`	Discontinued Procedure	Use when the procedure is terminated after induction of anesthesia for reasons unrelated to patient choice.
`62`	Two Surgeons	Use when two qualified surgeons perform distinct portions of a procedure; applicable when anesthetic management changes.
`78`	Unplanned Return to OR	Use when the patient returns to the operating room for a related procedure during the postoperative global period.
`59`	Distinct Procedural Service	Use to indicate a separate and distinct procedure or service not normally reported together; apply cautiously with anesthesia-related documentation.
`AA`	Anesthesia by Anesthesiologist	Use to indicate the anesthesiologist personally performed the anesthesia service.
`AD`	Medical Supervision by a Physician; More Than Four Concurrent Anesthetics	Use when the physician supervises and is medically directing care for more than four concurrent anesthesia procedures.
`QK`	Medical Direction of Two, Three, or Four Anesthetists (when combined)	Use when the physician medically directs multiple CRNAs under applicable rules.
`QS`	Monitored Anesthesia Care (MAC) Services	Use when MAC is reported distinct from general anesthesia services per payer rules.
`QX`	CRNA Service with Medical Direction by a Physician	Use when a CRNA provides the anesthesia and a physician medically directs.
`QY`	Medical Direction of One Certified Registered Nurse Anesthetist (CRNA) by a Physician	Use when physician medically directs a single CRNA.

Taxonomy Code	Specialty	Notes
`207L00000X`	Anesthesiology	Primary specialty providing anesthesia services for interventional venous/lymphatic procedures.
`207LA0401X`	Pain Medicine (Anesthesiology)	May be involved when procedures address chronic venous pain or complex pain management needs.
`207LC0200X`	Critical Care Medicine (Anesthesiology)	Relevant when critically ill patients require anesthesia management in complex or high-risk venous interventions.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`J34.2`	Deviation of nasal septum	Nasal septal deviation may be listed as a comorbidity if concurrent nasal procedures or airway considerations affect anesthetic planning.
`J32.9`	Chronic sinusitis, unspecified	Chronic sinus disease can influence airway management and perioperative risk assessment for sedation/anesthesia.
`J33.0`	Polyp of nasal cavity	Nasal polyps may impact airway surveillance or be a concurrent ENT concern in perioperative evaluation.
`J34.89`	Other specified disorders of nose and nasal sinuses	Other sinonasal conditions may be relevant as comorbid diagnoses affecting airway or perioperative risk.
`J34.3`	Hypertrophy of nasal turbinates	Turbinate hypertrophy can affect nasal airway patency and decisions about nasal instrumentation or oxygen delivery devices during anesthesia.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`01916`	Anesthesia for diagnostic arteriography and/or venography (including selective catheter placement)	Bundled for diagnostic arteriography/venography; not reportable in conjunction with `01930` when diagnostic venography is part of the same anesthetic event.