Summary & Overview
CPT 00914: Anesthesia for Vasectomy Procedures
CPT 00914 designates anesthetic services for vasectomy procedures on male genitalia and is relevant to anesthesiologists, ambulatory surgical centers, and billing professionals nationwide. This code identifies the anesthesia component of a commonly performed outpatient sterilization procedure and matters for accurate coding, billing, and service-line planning across surgical and anesthesia practices. Key commercial payers included in this overview are Aetna, Blue Cross Blue Shield, Cigna Health, and UnitedHealthcare. Readers will find a concise briefing on the clinical context of CPT 00914, common encounter diagnoses that justify use of the code, nearby related anesthesia codes for male genital procedures, and typical sites of service. The publication summarizes payer coverage considerations and common modifiers used in clinical practice. It also provides benchmarking and policy-relevant context to support coding accuracy and billing documentation. Data not available in the input will be clearly identified where applicable. This executive summary aims to orient clinicians, coders, and administrators to the purpose of CPT 00914, its place among related codes, and the payer landscape that most commonly applies to vasectomy anesthesia services.
CPT Code Overview
CPT 00914 describes anesthesia for procedures on male genitalia (including open urethral procedures); vasectomy, unilateral or bilateral (separate procedure). This code is used for anesthetic services provided in support of vasectomy procedures. The service type associated with this code is Anesthesiology. The typical site of service for CPT 00914 is an Ambulatory Surgical Center (POS 24).
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult male presenting to an Ambulatory Surgical Center for elective sterilization (vasectomy) with a diagnosis such as Z30.2 (Encounter for sterilization) or a related disorder of the male genitalia. The patient is assessed preoperatively by the anesthesia team (often an anesthesiologist or a certified registered nurse anesthetist) and classified, for example, as P1 if healthy. Monitored Anesthesia Care may be planned and reported with modifier QS when applicable. The procedure performed by the urologist or qualified surgeon is a unilateral or bilateral vasectomy (55250) under regional/local anesthesia with anesthesia services reported separately using 00914. Post-procedure recovery occurs in the ASC with routine monitoring and discharge once criteria are met.
Coding Specifications
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Common Modifiers
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QS- Monitored anesthesia care service: used when anesthesia services are provided as monitored anesthesia care rather than general anesthesia, and the MAC service is billed according to payer guidelines. -
P1- A normal healthy patient: an ASA physical status modifier indicating the patient’s pre-anesthesia health status when required by payer or facility documentation. -
Provider Taxonomies
| Taxonomy Code | Specialty |
|---|---|
207L00000X | Anesthesiology |
207V00000X | Obstetrics & Gynecology |
208800000X | Urology |
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Notes on use
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Apply the appropriate modifier according to the payer’s billing rules and document the clinical justification in the anesthesia record.
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Report the taxonomy that corresponds to the rendering clinician:
207L00000Xfor anesthesiologists/CRNAs,208800000Xfor urologists performing the procedure, and207V00000Xonly if an obstetrics & gynecology specialist is the treating provider.
Related Diagnoses
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Z30.2— Encounter for sterilization- Clinical relevance: Direct indication for elective vasectomy; commonly paired with the vasectomy procedure and associated anesthesia coding.
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N50.9— Disorder of male genital organs, unspecified- Clinical relevance: General male genital disorder that may prompt evaluation and procedural intervention; may be listed if the exact condition is unspecified.
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N47.1— Phimosis- Clinical relevance: A condition of the foreskin that can be relevant to discussions of genital surgical procedures; may coexist with or influence perioperative management.
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N47.2— Paraphimosis- Clinical relevance: An acute foreskin condition that could necessitate genital procedures and anesthesia management; may be present in the perioperative record.
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N48.9— Disorder of penis, unspecified- Clinical relevance: Non-specific penile disorder that may be associated with procedures on the male genitalia and included in the clinical documentation supporting anesthesia services.
Related CPT Codes
| CPT Code | Description | Relationship to 00914 |
|---|---|---|
55250 | Vasectomy, unilateral or bilateral (separate procedure) | Primary surgical procedure for which 00914 provides the anesthesia service. Commonly billed together: 55250 (surgeon) and 00914 (anesthesia). |
00910 | Anesthesia for procedures on male genitalia | Related anesthesia code for other male genital procedures; may be used for different specific procedures on the male genitalia. |
00912 | Anesthesia for procedures on male genitalia; vasotomy, vasoligation, or vasorrhaphy | Related anesthesia code for vas-related surgeries distinct from vasectomy technical coding; used in workflows involving vasotomy/vasoligation/vasorrhaphy. |
00913 | Anesthesia for procedures on male genitalia; orchiectomy | Related anesthesia code for orchiectomy procedures on the male genitalia; alternative anesthesia code when orchiectomy is the operative procedure. |
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Common usage
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00914is commonly reported with55250when anesthesia services are provided for vasectomy. The other0091xseries codes are alternatives for different male genital procedures and are used depending on the specific operative procedure performed.
National Reimbursement Benchmarks
National commercial mean rates exceed Medicare's mean when Medicare is compared to BUCA (average commercial): BUCA's mean allowed rate of $161.80 is higher than Medicare's mean (Data not available in the input). The commercial payer means vary notably around BUCA, with Cigna ($299.13), BCBS ($278.36), and Aetna ($235.62) above BUCA, while UnitedHealth Group (UHC) sits well below at $65.52.
Rate dispersion (P75 − P25) is widest for Cigna (433.00 − 89.00 = $344.00) and Aetna (390.00 − 42.00 = $348.00), indicating large variability in allowed rates. Dispersion is tightest for UnitedHealth Group (75.33 − 50.17 = $25.16) and BCBS (351.00 − 204.75 = $146.25). The table and chart below present the full payer breakdown.
State Benchmarks
State: AK1 / 50
Alaska Benchmarks
Alaska demonstrates a substantial rate spread for CPT code 00914, particularly with Blue Cross Blue Shield, where the difference between the 75th and 25th percentiles is $96.90. BUCA also shows a wide spread of $169.89, indicating significant variability in reimbursement rates across payers. In contrast, Aetna and UnitedHealth Group have minimal spreads, with all percentiles clustered closely around $72.00, suggesting limited negotiation or variation in rates for these payers.
Compared to national averages, Alaska's mean rates for Blue Cross Blue Shield and BUCA are notably higher, while Cigna and UnitedHealth Group remain below national benchmarks. The table and chart below present the full breakdown of payer-specific rates in Alaska, highlighting these differences and the overall landscape for CPT code 00914 reimbursement.
Key Insights for Alaska
- Blue Cross Blue Shield is the highest paying payer for CPT 00914 in Alaska, with a mean rate of $330.33.
- UnitedHealth Group offers the lowest mean rate at $75.12, significantly below both the state and national averages.
- Alaska's mean rates for most payers are higher than national benchmarks, especially for Blue Cross Blue Shield and BUCA.
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