CPT 01965: Anesthesia for Incomplete or Missed Abortion Procedure
CPT code 01965 identifies anesthesia services provided for incomplete or missed abortion procedures. This code is important nationally because it captures anesthesia resources, billing classification, and utilization for a specific gynecologic operative service that can occur in multiple ambulatory and hospital outpatient settings. Accurate use of the code supports appropriate payment, quality measurement, and clinical resource planning for reproductive health services.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, United Healthcare, and Medicare. Readers will find a concise overview of payer coverage patterns, coding context, and clinical scenarios where 01965 applies. The publication outlines where this code fits within obstetric/gynecologic anesthesia practice, typical sites of service, and common clinical indications for use. It also highlights related procedural links and diagnostic pairings relevant for billing and claims processing. The content is intended to assist revenue cycle, coding, and policy teams in recognizing the clinical and billing role of CPT code 01965 across national payers.
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Billing Code Overview
CPT code 01965 denotes anesthesia services provided for an incomplete or missed abortion procedure. The service type is anesthesia for gynecologic operative procedure. The typical site of service is an outpatient surgical setting or ambulatory procedure unit, including hospital outpatient departments and ambulatory surgery centers where abortion-related operative procedures are performed.
National Reimbursement Benchmarks
National commercial rates for CPT 01965 cluster around BUCA’s average commercial benchmark of $85, with notable variation across individual payers. Blue Cross Blue Shield’s midpoint sits lower than BUCA, Aetna’s distribution skews higher with a $279.70 maximum, and Cigna and UnitedHealth Group fall between those extremes. This positions BUCA as a useful average commercial reference amid a wide national spread.
Dispersion measured by the interquartile range (P75 minus P25) highlights where rates are tightest or widest: Blue Cross Blue Shield shows a range of $49.8, UnitedHealth Group is the tightest at $28.9, while Aetna displays the widest dispersion at $79.0. Cigna’s IQR is $40.1 and BUCA’s is $52.0, indicating moderate variability around the BUCA average across payers.