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    v1.0.28
    OpenPayerBilling CodesAnesthesia for Obstetric ProceduresCPT cpt-01962-urgent-postpartum-hysterectomy-anesthesia
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    CPT 01962: Anesthesia for Urgent Postpartum Hysterectomy

    Commercial payers pay $68 on average nationally for this procedure.

    CPT code 01962 describes anesthesia services provided for an urgent hysterectomy performed immediately following delivery, indicating intraoperative anesthetic management for postpartum hysterectomy; typical service type is anesthesia for urgent obstetric surgery and the usual site of service is an operating room in a hospital.

    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

    BUCA’s average commercial rate for CPT 01962 sits at $68.20, serving as a useful market midline. Among named payers, Cigna posts the highest mean at $93.70 while Aetna and Blue Cross Blue Shield cluster lower with means near $60.20 and $62.70 respectively; UnitedHealth Group is slightly higher at $67.20. This spread places BUCA close to UnitedHealth Group on average, with Cigna clearly above the group average. Dispersion (P75 minus P25) highlights where rates vary most: Cigna’s IQR is $53.10 ($120.00 − $67.90), Blue Cross Blue Shield’s IQR is $41.50 ($83.09 − $41.60), and BUCA’s IQR is $41.00 ($87.70 − $47.70). Aetna shows a tighter IQR of $32.30 and UnitedHealth Group is modestly narrow at $26.40, making UnitedHealth Group the tightest and Cigna the widest in payer rate dispersion.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 32-year-old G2P1 woman undergoes an emergency hysterectomy immediately following a complicated cesarean delivery because of uncontrolled postpartum hemorrhage and uterine atony unresponsive to medical management. She arrived in active labor with fetal decelerations, received neuraxial labor analgesia that was converted to surgical anesthesia for the cesarean delivery. During the cesarean, severe bleeding and uterine rupture necessitate an urgent hysterectomy in the same operative session. The anesthesia provider remains responsible for continued intraoperative anesthesia management, hemodynamic resuscitation, invasive monitoring as indicated, and postoperative handoff to the intensive care unit.

    The clinical workflow: preoperative assessment in the labor and delivery unit including review of vital signs, blood loss, IV access and type/crossmatch status; continuation or conversion of existing neuraxial anesthesia to an adequate level for laparotomy or induction of general anesthesia if neuraxial is inadequate or contraindicated; placement of arterial line and large-bore IVs or central venous access as needed; active management of hemorrhage with transfusion, uterotonics, and surgical hemostasis; documentation of anesthesia start and stop times and any critical events; application of appropriate anesthesia modifiers and diagnosis linkage on the claim; and postoperative transfer with anesthesia and airway documentation for ongoing care.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    01963Anesthesia for cesarean hysterectomy without any labor analgesia/anesthesia care

    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…
    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…
    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…
    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…
    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 CodeSpecialtyNotes
    207L00000XAnesthesiology PhysicianAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
    207LA0401XAddiction Medicine (Anesthesiology) PhysicianAn anesthesiologist who specializes in the diagnosis and treatment of addictions.
    207LP2900XPain Medicine (Anesthesiology) PhysicianAn anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chr…
    2251G0304XGeriatric Physical TherapistA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has d…
    261QI0500XInfusion Therapy Clinic/CenterAmbulatory Health Care Facilities · Clinic/Center
    246ZI1000XMedical IllustratorNone
    207UN0901XNuclear Cardiology PhysicianA nuclear medicine physician who specializes in nuclear cardiology.
    2082S0099XPlastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianA plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including c…

    Related ICD-10-CM Codes

    27 rows

    ICD-10-CM CodeDescription
    A41.9Sepsis, unspecified organism
    I70.203Unspecified atherosclerosis of native arteries of extremities, bilateral legs
    I73.9Peripheral vascular disease, unspecified
    I74.3Embolism and thrombosis of arteries of the lower extremities
    I77.1Stricture of artery
    I79.8Other disorders of arteries, arterioles and capillaries in diseases classified elsewhere
    N92.0Excessive and frequent menstruation with regular cycle
    N92.1Excessive and frequent menstruation with irregular cycle
    N93.9Abnormal uterine and vaginal bleeding, unspecified
    O03.9Complete or unspecified spontaneous abortion without complication

    Showing 1–10 of 27

    Related Payer Policy Updates

    Specialty: Anesthesiology1 / 2

    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-01958-ANESTHESIA-EXTERNAL-CEPHALIC-VERSION

    CPT 01958: Anesthesia for External Cephalic Version

    CPT-01960-ANESTHESIA-FOR-VAGINAL-DELIVERY

    CPT 01960: Anesthesia for Vaginal Delivery

    CPT-01961-ANESTHESIA-FOR-CESAREAN-DELIVERY

    CPT 01961: Anesthesia for Cesarean Delivery

    CPT-01963-CESAREAN-HYSTERECTOMY-ANESTHESIA

    CPT 01963: Anesthesia for Cesarean Hysterectomy

    CPT-01965-ANESTHESIA-FOR-INCOMPLETE-MISSED-ABORTION

    CPT 01965: Anesthesia for Incomplete or Missed Abortion

    CPT-01966-ANESTHESIA-FOR-INDUCED-ABORTION

    CPT 01966: Anesthesia for Induced Abortion Procedure

    CPT-01967-NEURAXIAL-ANESTHESIA-PLANNED-VAGINAL-DELIVERY

    CPT 01967: Neuraxial Anesthesia for Planned Vaginal Delivery

    CPT-01968-CESAREAN-DELIVERY-ANESTHESIA-AFTER-NEURAXIAL

    CPT 01968: Anesthesia for Cesarean Delivery After Neuraxial Anesthetic

    CPT-01969-CESAREAN-HYSTERECTOMY-AFTER-NEURAXIAL-ANESTHESIA

    CPT 01969: Anesthesia for Cesarean Hysterectomy After Neuraxial Anesthesia

    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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    Closely related: used when the hysterectomy occurs at the time of cesarean without prior labor analgesia; alternative code for cesarean hysterectomy scenarios.
    01961Anesthesia for cesarean delivery onlyRelated: used when only cesarean delivery anesthesia is billed and no hysterectomy anesthesia is separately reported.
    01960Anesthesia for vaginal delivery onlyRelated in obstetric context for deliveries that do not require surgical anesthesia.
    01965Anesthesia for incomplete or missed abortion proceduresRelated as an obstetric/anesthesia code for other uterine surgical procedures in the same family of services.
    01966Anesthesia for induced abortion proceduresRelated as an obstetric/anesthesia code for elective uterine evacuation procedures.