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    v1.0.28
    OpenPayerBilling CodesAnesthesia for Obstetric ProceduresCPT cpt-01963-cesarean-hysterectomy-anesthesia
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    CPT 01963: Anesthesia for Cesarean Hysterectomy

    Commercial payers pay $80 on average nationally for this procedure.

    CPT code 01963 describes anesthesia services provided for a patient undergoing a cesarean hysterectomy (removal of the uterus during a cesarean section); the code represents intraoperative anesthesia care specific to the cesarean hysterectomy procedure and excludes labor analgesia or separate anesthesia for labor, with the typical service type being operative anesthesia and the usual site of service being an inpatient operating room during cesarean delivery.

    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

    National commercial reimbursement for CPT 01963 centers near BUCA’s average commercial rate of $80, with notable divergence among major payers. Cigna shows the highest central tendency with a median of $107.30 and a mean of $115.40, while Aetna and UnitedHealth Group cluster lower with medians of $48.00 and $63.70 and means of $69.50 and $67.20, respectively. Blue Cross Blue Shield’s median sits between those groups at $63.70 and has the highest single observed maximum at $253.70. BUCA’s mean of $80 functions as a market midpoint rather than an extreme.

    Dispersion measured by the interquartile range (P75–P25) highlights variation: Cigna’s IQR is $57.10 (P75 $142.10 minus P25 $85.00), indicating the widest middle‑50% spread; Blue Cross Blue Shield follows with an IQR of $47.70. UnitedHealth Group is the tightest with an IQR of $27.40, and Aetna has a relatively narrow IQR of $51.50. These differences reflect varying contract and network dynamics across payers rather than absolute level alone.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 33-year-old gravida 3 para 2 patient presents at 38 weeks gestation for a scheduled cesarean delivery due to a prior low transverse cesarean scar (O34.211). During the cesarean delivery, the obstetric team determines that total hysterectomy is required because of uncontrolled hemorrhage and uterine atony complicated by obstructed labor (O66.9) and primary inadequate contractions (O62.0). The anesthesia provider is called to deliver general endotracheal anesthesia for the cesarean hysterectomy procedure. The anesthesia service coded with 01963 covers anesthetic management for the combined cesarean delivery with concomitant hysterectomy; labor analgesia was not provided prior to the procedure. Typical workflow: preoperative evaluation in the labor and delivery unit, rapid induction of general anesthesia in the operating room, intraoperative hemodynamic management and blood product coordination, postoperative transfer to recovery or intensive care as indicated. Diagnoses on the record commonly include O82 (encounter for cesarean delivery without indication) when documentation emphasizes delivery, as well as O75.82 for maternal exhaustion contributing to labor complications.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure

    Related Modifiers

    7 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…

    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…
    367500000XCertified Registered Nurse Anesthetist(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, prov…
    207V00000XObstetrics & Gynecology PhysicianAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproducti…
    2083P0500XPreventive Medicine/Occupational Environmental Medicine PhysicianA preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the populat…
    213ER0200XRadiology PodiatristPodiatric Medicine & Surgery Service Providers · Podiatrist
    171WV0202XVehicle Modifications ContractorA contractor who makes modifications to private vehicles to accommodate a health condition.
    207SG0202XClinical Biochemical Genetics PhysicianA clinical biochemical geneticist demonstrates competence in performing and interpreting biochemical analyses relevant to the diagnosis and management…
    213ES0131XFoot Surgery PodiatristPodiatric Medicine & Surgery Service Providers · Podiatrist

    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-01962-URGENT-POSTPARTUM-HYSTERECTOMY-ANESTHESIA

    CPT 01962: Anesthesia for Urgent Postpartum 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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    01962Anesthesia for urgent hysterectomy following deliveryUsed when hysterectomy occurs emergently after delivery; distinguishes urgency context from planned cesarean hysterectomy.
    01961Anesthesia for cesarean delivery onlyRepresents anesthesia for cesarean delivery without concurrent hysterectomy; contrasted with 01963 when hysterectomy is not performed.
    01965Anesthesia for incomplete or missed abortion proceduresDifferent obstetric/anesthesia context; listed for code family relevance but not typically used with cesarean hysterectomy.
    01966Anesthesia for induced abortion proceduresRelated by anesthesia service grouping for obstetric procedures but not used for cesarean hysterectomy cases.