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    v1.0.28
    OpenPayerBilling CodesAnesthesia for Obstetric ProceduresCPT cpt-01966-anesthesia-for-induced-abortion
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    CPT 01966: Anesthesia for Induced Abortion Procedure

    Commercial payers pay $86 on average nationally for this procedure.

    CPT code 01966 describes anesthesia services provided for an induced abortion procedure, typically classified as anesthesia for obstetrical/gynecologic surgical care; the service type is anesthesia for an induced abortion and the typical site of service is an ambulatory surgical center or hospital procedural suite.

    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

    For CPT 01966, the BUCA average commercial benchmark sits at $85.90, serving as a mid-market reference point across national commercial rates. Blue Cross Blue Shield shows a lower central tendency (median $69.10) while Aetna and Cigna record higher central tendencies (medians $99.70 and $84.30 respectively). UnitedHealth Group centers near the lower end with a median of $64.00. Maximums and minimums vary by carrier but are not repeated here beyond what’s already summarized.

    Examining dispersion using the interquartile range (P75 minus P25) highlights where rates are most and least variable: Aetna’s IQR is $118.00 (P75 $169.00 − P25 $50.70), indicating the widest spread among payers; Cigna’s IQR is $40.60 (P75 $107.60 − P25 $67.00) and Blue Cross Blue Shield’s IQR is $55.50 (P75 $107.60 − P25 $52.10), showing moderate dispersion. UnitedHealth Group is the tightest with an IQR of $29.10 (P75 $81.10 − P25 $52.00).

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Clinical & Coding Specifications

    Clinical Context

    A 28-year-old gravida 2 para 1 woman presents to an ambulatory surgical center for a planned induced abortion at 14 weeks gestation. Preoperative evaluation documents prior low transverse cesarean delivery scar, baseline vital signs, and ASA physical status II due to controlled asthma. The anesthesia team (anesthesiology physician or CRNA supervised by an anesthesiology physician) reviews the history, obtains consent for anesthesia, and determines that either monitored anesthesia care with intravenous sedation or general anesthesia may be required depending on patient anxiety, airway assessment, and intra-procedural pain control needs. In the procedure room, standard ASA monitors are applied, intravenous access is secured, and medications are administered for conscious sedation or general endotracheal anesthesia as clinically indicated. The anesthesia provider documents pre-anesthesia evaluation, intraoperative anesthetic management (airway technique, agents used, hemodynamic status), any complications, and post-anesthesia recovery instructions. Typical recovery occurs in the facility recovery area with discharge when criteria are met. This workflow applies to induced abortion procedures where the anesthesia service is reported separately using 01966.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    01965Anesthesia for incomplete or missed abortion procedureRelated anesthesia code used when the procedure addresses an incomplete or missed abortion rather than an induced abortion; used in similar clinical contexts and may be billed when that specific indication applies.

    Related Modifiers

    9 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…
    56Modifier ‑56 indicates the reporting provider furnished only the preoperative management for a surgical procedure and did not perform the intraoperative or postoperative care. It is used in…- Use Modifier -56 when a provider performs only the preoperative management in a split‑care situation (one physician manages preop care while a different physician performs the intraoperative…
    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…
    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…
    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…

    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…
    2083C0008XClinical Informatics PhysicianPhysicians who practice Clinical Informatics collaborate with other health care and information technology professionals to analyze, design, implement…
    3747A0650XAttendant Care ProviderAn individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically hand…
    207RM1200XMagnetic Resonance Imaging (MRI) Internal Medicine PhysicianThe NUCC recommends this code not be used. Choose a more appropriate code.<br/>
    261QE0002XEmergency Care Clinic/CenterAmbulatory Health Care Facilities · Clinic/Center
    1835N0905XNuclear PharmacistA licensed pharmacist who has demonstrated specialized knowledge and skill in procurement, compounding, quality control testing, dispensing, distribut…

    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-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-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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