CPT 01969: Anesthesia for Cesarean Hysterectomy after Neuraxial Anesthesia
CPT code 01969 denotes anesthesia services for a cesarean hysterectomy performed after neuraxial anesthesia. The code captures the specialized anesthetic management required when a cesarean delivery proceeds to hysterectomy, often for obstetric hemorrhage, uterine rupture, placenta accreta spectrum, or other intraoperative complications. Accurate coding for this scenario supports appropriate clinical documentation and payer adjudication for high-acuity obstetric anesthesia care.
Key national payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The discussion covers typical clinical context, billing relationships with related obstetric and anesthesia codes, and what clinicians and billing teams should expect when reporting anesthesia services in cesarean-to-hysterectomy cases.
Readers will find concise benchmarks and policy-relevant context for CPT code 01969, including how it differs from related anesthesia codes used for planned cesarean delivery or neuraxial labor analgesia converted to cesarean. The summary clarifies service type and typical site of service and highlights common clinical scenarios that generate use of this code. Data not available in the input will be noted where applicable.
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Billing Code Overview
CPT code 01969 describes anesthesia services provided for a patient undergoing a cesarean hysterectomy after neuraxial anesthesia. This procedure involves administering anesthesia care when a cesarean delivery is followed by hysterectomy, typically performed when intraoperative findings or maternal indications require removal of the uterus after delivery.
Service type: Anesthesia for cesarean hysterectomy following neuraxial anesthesia
Typical site of service: Operating room during a cesarean delivery with an immediate hysterectomy
National Reimbursement Benchmarks
National commercial rates for CPT 01969 cluster around BUCA’s average commercial benchmark of $73.10, while individual payers show meaningful differences in central tendency. Blue Cross Blue Shield posts a median near $59.60 and a mean of $71.40, Cigna’s mean is higher at $96.50 with a median of $86.00, Aetna’s mean sits at $60.60 with a median of $48.00, and UnitedHealth Group’s mean is $67.20 with a median of $63.70. The presence of Cigna’s larger mean and higher median pushes the upper end of the market beyond BUCA’s average.
Dispersion measured by the interquartile range (P75 minus P25) highlights variability: Blue Cross Blue Shield’s IQR is $45.90, Cigna’s IQR is $58.60, BUCA’s IQR is $44.50, Aetna’s IQR is $36.00, and UnitedHealth Group’s IQR is $28.50. Cigna shows the widest IQR at $58.60, indicating the greatest middle-50% spread, while UnitedHealth Group is the tightest at $28.50, indicating relatively concentrated commercial reimbursements.