Summary & Overview
CPT 00932: Anesthesia for Complete Amputation of Penis
CPT 00932 denotes anesthesia services provided for procedures on male genitalia, specifically for complete amputation of the penis. This code captures the anesthetic management required for a high-complexity, invasive urologic procedure and is used across surgical settings where such procedures occur. Nationally, accurate use of this code matters for procedural classification, resource planning, and consistent billing for anesthesia teams involved in major genital surgeries.
Key payers included in the coverage context for this publication are Aetna, Blue Cross Blue Shield, Cigna Health, and UnitedHealthcare. The analysis addresses payer coverage patterns, billing considerations, and clinical context relevant to anesthesiology services tied to major penile surgery. Readers will find summaries of typical settings of care, comparable CPT codes for related procedures, and the clinical scenarios that commonly generate use of this code.
The publication provides a concise briefing on coding scope, common clinical indications for use, and where this code fits among related anesthesia codes for male genital procedures. It also highlights documentation elements commonly associated with high-complexity anesthesia services and lists associated diagnoses that frequently align with the code. Data not available in the input is noted where applicable.
CPT Code Overview
CPT 00932 describes anesthesia for procedures on male genitalia, specifically covering complete amputation of the penis. The service type is Anesthesia. The typical site of service is an Ambulatory Surgical Center (POS 24).
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult male presenting for surgical management requiring complete amputation of the penis. The patient may have been evaluated preoperatively in an ambulatory surgical center (POS 24) or hospital outpatient clinic for conditions such as atrophy or vascular disorders of the male genital organs, other specified or unspecified disorders of the male genital organs, or for sterilization-related procedures where amputation is indicated. The clinical workflow includes preoperative evaluation by the anesthesiology team, informed consent, regional or general anesthesia administration, intraoperative anesthetic management for the amputation procedure, postoperative recovery and pain control in the PACU, and discharge planning or admission as indicated. Perioperative documentation includes the anesthesia start and end times, airway management, anesthetic agents, monitoring provided, immediate complications, and the patient’s ASA classification.
Coding Specifications
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Modifiers:
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QS- Monitored anesthesia care service: used when monitored anesthesia care is provided rather than general anesthesia, documented by the anesthesiologist. -
P1- A normal healthy patient: used to indicate the ASA physical status classification when the patient meets ASA I criteria. -
Provider taxonomies:
| Taxonomy Code | Specialty |
|---|---|
207L00000X | Anesthesiology Physician |
- The
207L00000Xtaxonomy represents physicians specializing in anesthesiology who provide anesthesia services for surgical procedures, including those on male genitalia.
Related Diagnoses
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N50.0- Atrophy of testisClinical relevance: Testicular atrophy may coexist with other male genital disorders and be part of the preoperative assessment for genital surgery; it may be documented in patients undergoing genital procedures.
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N50.1- Vascular disorders of male genital organsClinical relevance: Vascular compromise or ischemia of male genital organs can be an indication for surgical intervention including amputation in severe cases.
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N50.8- Other specified disorders of male genital organsClinical relevance: Miscellaneous specified pathology of the male genital organs may necessitate surgical management, including procedures requiring anesthesia for amputation.
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N50.9- Disorder of male genital organs, unspecifiedClinical relevance: When a specific disorder is not otherwise classified, this code may be used on the anesthesia record to describe a genital condition associated with the operative procedure.
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Z30.2- Encounter for sterilizationClinical relevance: Encounters for sterilization are included in the list of related diagnoses; documentation may indicate sterilization procedures performed during the same episode of care or as part of preoperative planning, although
Z30.2does not itself describe the amputation procedure.
Related CPT Codes
| CPT Code | Description |
|---|---|
00934 | Anesthesia for procedures on male genitalia (including open urethral procedures); radical amputation of penis with bilateral inguinal lymphadenectomy |
00936 | Anesthesia for procedures on male genitalia (including open urethral procedures); radical amputation of penis with bilateral inguinal and iliac lymphadenectomy |
00938 | Anesthesia for procedures on male genitalia (including open urethral procedures); insertion of penile prosthesis (perineal approach) |
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00934and00936describe anesthesia for more extensive oncologic resections with lymphadenectomy and would be alternatives to00932when the surgical extent includes inguinal or iliac lymph node dissection. -
00938represents anesthesia for a different operative procedure on the male genitalia (penile prosthesis insertion) and may appear in the same clinical pathway when reconstructive procedures are planned instead of amputation. -
These codes are used as alternatives based on the surgical procedure extent; they are not typically reported together for the same operative site and time but may appear across related patient encounters when procedure scope differs.
National Reimbursement Benchmarks
National mean commercial rates exceed Medicare-level payment benchmarks in most cases; the BUCA (broad commercial average) mean of $125.12 sits well above Medicare (reported here as $0.00 in the input), while remaining below higher commercial payers such as Cigna ($248.09) and Blue Cross Blue Shield ($226.43). UnitedHealth Group has the lowest national mean among the commercial payers at $65.52, and Aetna is in the mid-range at $160.33.
Rate dispersion (P75 minus P25) varies notably across payers. Cigna shows a wide dispersion (P75 $348.00 vs P25 $89.00 = $259.00 range), indicating greater variability in allowed rates. Blue Cross Blue Shield and Aetna also display substantial spreads ($158.00 and $225.00 ranges, respectively). UnitedHealth Group has the tightest spread ($25.17 range), indicating more consistent allowed rates nationally. The table and chart below present the full percentile and mean rate breakdown.
State Benchmarks
State: AK1 / 50
Alaska Benchmarks
Alaska shows a wide spread in reimbursement rates for CPT code 00932, with Blue Cross Blue Shield offering the highest mean rate at $269.36 and UnitedHealth Group the lowest at $75.12. The rate spread, calculated as the difference between the 75th and 25th percentiles, is most pronounced for Blue Cross Blue Shield ($74.20), indicating significant variability in payments, while Aetna and UnitedHealth Group have minimal spreads ($0.00 and $4.00, respectively), suggesting more uniform rates.
Compared to national averages, Alaska's mean rates for Blue Cross Blue Shield and Aetna are notably higher, while Cigna and UnitedHealth Group are closer to or below national benchmarks. The table and chart below present the full breakdown of payer-specific rates in Alaska.
Key Insights for Alaska
- Blue Cross Blue Shield is the highest paying payer in Alaska for CPT 00932, with a mean rate of $269.36.
- 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 Aetna.
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