Summary & Overview
CPT 00928: Anesthesia for Radical Abdominal Orchiectomy
Headline: Anesthesia CPT 00928 Covers Radical Abdominal Orchiectomy Procedures
Lead: CPT 00928 designates anesthesia services for radical abdominal orchiectomy — a surgical procedure to remove testicular tissue via an abdominal approach — and is relevant to surgical anesthesia billing across ambulatory surgical centers nationally. The code is used to document anesthesia care for complex male genital surgical interventions and informs payment, coding compliance, and clinical documentation.
Key payers: Aetna, Blue Cross Blue Shield, Cigna Health, and UnitedHealthcare are included in the payer landscape for this code, reflecting common commercial coverage considerations.
What this brief covers: Readers will find a concise explanation of what CPT 00928 represents and why it matters for anesthesia and surgical teams, an overview of typical use cases and clinical context, and guidance on the topics addressed in the full publication — including billing benchmarks, common documentation points, and coding relationships to related male genital anesthesia codes. The content highlights typical site-of-service implications (Ambulatory Surgical Center) and situates the code among nearby anesthesia codes for male genital procedures.
Why it matters nationally: Anesthesia codes for male genital surgeries carry specific clinical and billing complexity due to procedure variability and site-of-service differences. Accurate coding for CPT 00928 supports appropriate charge capture, payer adjudication, and alignment with clinical documentation workflows.
Data note: Data not available in the input for service line details beyond those provided.
CPT Code Overview
CPT 00928 describes anesthesia for procedures on male genitalia specifically for radical orchiectomy, abdominal. This procedure involves administration of anesthesia to support surgical removal of one or both testicles through an abdominal approach. The service type is Anesthesia and the typical site of service is an Ambulatory Surgical Center (POS 24).
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult male presenting with a testicular mass or severe pathology of the testis requiring removal. Preoperative evaluation includes history and physical, scrotal ultrasound, and review of relevant diagnoses such as testicular atrophy or vascular disorders. The patient is scheduled to undergo a radical orchiectomy via an abdominal approach under general anesthesia or appropriate monitored anesthesia care in an Ambulatory Surgical Center (POS 24). Anesthesia preoperative assessment documents ASA status (for example P1 if a normal healthy patient), airway evaluation, comorbidities, and consent. Intraoperative workflow includes induction and maintenance of anesthesia, invasive or noninvasive monitoring, administration of analgesics and antiemetics, coordination with the urology surgical team, and postoperative handoff to PACU staff for recovery and discharge planning.
Coding Specifications
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Modifier
QS: Monitored anesthesia care service. Use when the anesthesia service provided is monitored anesthesia care rather than general anesthesia for the listed procedure. -
Modifier
P1: A normal healthy patient. Use to report the patient ASA physical status classification when applicable. -
Associated provider taxonomies:
| Taxonomy Code | Specialty |
|---|---|
207L00000X | Anesthesiology |
207V00000X | Urology |
208800000X | Urological Surgery |
Related Diagnoses
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N50.0— Atrophy of testisClinical relevance: Testicular atrophy may be an indication for orchiectomy when associated with nonviable testis, chronic pain, or suspected neoplasm leading to selection of a radical orchiectomy procedure.
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N50.1— Vascular disorders of male genital organsClinical relevance: Vascular compromise (for example torsion with ischemia) or other vascular disorders can necessitate orchiectomy if the testis is nonviable, making this relevant to anesthesia for radical orchiectomy.
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N50.8— Other specified disorders of male genital organsClinical relevance: A variety of specified male genital disorders may lead to surgical removal of the testis; this code can accompany indications for radical orchiectomy.
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Z30.2— Encounter for sterilizationClinical relevance: Sterilization encounters may be part of genitourinary surgical care; while not the typical indication for radical orchiectomy, it is listed among related diagnoses for procedures on male genitalia.
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Z98.52— Vasectomy statusClinical relevance: A documented history of vasectomy may appear in the surgical history for patients undergoing procedures on male genitalia and is relevant to perioperative evaluation and documentation.
Related CPT Codes
| CPT Code | Description | Clinical relationship |
|---|---|---|
00930 | Anesthesia for procedures on male genitalia (including open urethral procedures); orchiopexy, unilateral or bilateral | Alternative anesthesia code for orchiopexy procedures on male genitalia; used when orchiopexy is the primary surgical procedure instead of radical orchiectomy. |
00932 | Anesthesia for procedures on male genitalia (including open urethral procedures); complete amputation of penis | Alternative for more extensive penile amputation procedures; represents a different surgical procedure requiring distinct anesthesia coding. |
00934 | Anesthesia for procedures on male genitalia (including open urethral procedures); radical amputation of penis with bilateral inguinal lymphadenectomy | Alternative for radical penile amputation with bilateral inguinal lymphadenectomy; used instead of 00928 when that specific surgery is performed. |
00936 | Anesthesia for procedures on male genitalia (including open urethral procedures); radical amputation of penis with bilateral inguinal and iliac lymphadenectomy | Alternative for procedures that include both inguinal and iliac lymphadenectomy; more extensive than 00928. |
00938 | Anesthesia for procedures on male genitalia (including open urethral procedures); insertion of penile prosthesis (perineal approach) | Alternative anesthesia code for penile prosthesis insertion via a perineal approach; may be used in the same clinical setting for different surgical indications. |
Common usage notes: These codes represent anesthesia reporting for different surgical procedures on the male genitalia. They are used as alternatives to 00928 when the specific surgical procedure differs. Some codes may be selected instead of 00928 based on the exact operation; they are not typically reported together for the same primary surgical event.
National Reimbursement Benchmarks
National commercial mean rates exceed Medicare when comparing BUCA (average commercial) to Medicare: BUCA's mean rate of $157.24 is higher than Medicare's mean rate (Data not available in the input, represented as $0.00 in the table). Blue Cross Blue Shield and Cigna report the highest national mean rates at $351.62 and $352.10 respectively, while UnitedHealth Group reports the lowest mean at $65.59.
Rate dispersion (P75 minus P25) varies substantially across payers. Cigna shows the widest spread (520.00 - 90.00 = $430.00), followed by BCBS (455.00 - 241.07 = $213.93) and Aetna (363.00 - 40.00 = $323.00). UnitedHealth Group is the tightest (75.75 - 50.25 = $25.50) and BUCA has a moderate spread (244.88 - 45.00 = $199.88). The table and chart below present the full breakdown.
State Benchmarks
State: AK1 / 50
Alaska Benchmarks
Alaska displays a wide spread in reimbursement rates for CPT code 00928, with Blue Cross Blue Shield offering the highest mean rate at $419.46 and UnitedHealth Group the lowest at $75.12. The rate spread, measured by the difference between the 75th and 25th percentiles, is most pronounced for Blue Cross Blue Shield ($212.83) and BUCA ($228.85), indicating substantial variability in payments across providers. In contrast, Aetna and UnitedHealth Group show minimal spread, with all percentiles clustered closely around $72, suggesting standardized rates.
Compared to national averages, Alaska's mean rates for Blue Cross Blue Shield and BUCA are notably higher, while Cigna and UnitedHealth Group are only slightly above or near national benchmarks. The table and chart below present the full breakdown of payer-specific reimbursement rates for CPT code 00928 in Alaska.
Key Insights for Alaska
- Blue Cross Blue Shield is the highest paying payer for CPT 00928 in Alaska, with a mean rate of $419.46.
- UnitedHealth Group offers the lowest mean rate at $75.12.
- Alaska's mean rates for most payers are significantly higher than national averages, especially for Blue Cross Blue Shield and BUCA.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.