Summary & Overview
CPT 01925: Anesthesia for Carotid or Coronary Interventional Radiology
Headline: CPT 01925: Anesthesia for Therapeutic Interventional Radiological Procedures of Carotid or Coronary Arteries
Lead: CPT 01925 designates anesthesia services rendered during therapeutic interventional radiology procedures that target the carotid or coronary arteries. The code is used to describe anesthesia care tailored to complex vascular interventions performed in radiology suites, typically in outpatient hospital settings.
What this code represents and why it matters: CPT 01925 captures anesthesia involvement in high-risk, image-guided arterial procedures where airway management, hemodynamic control, and rapid response to intra-procedural events are essential. Accurate use of this code affects clinical documentation, billing clarity, and proper classification of anesthesia services during interventional radiology cases.
Key payers covered: This summary addresses commercial payers including Aetna, Blue Cross Blue Shield, Cigna Health, and UnitedHealthcare.
What readers will learn: The publication provides a clear definition of the service captured by CPT 01925, comparisons with adjacent anesthesia codes for interventional radiology, expected site-of-service context, common billing modifiers and diagnostic pairings (where available), and practical coding notes for documentation alignment. It also outlines related codes to help differentiate scope of service for arterial versus intracranial or other vascular territories.
Scope limitations: Data not available in the input for specific payer policies, coverage edits, or reimbursement benchmarks. The content focuses on code description, clinical context, and coding relationships rather than payer-specific guidance.
CPT Code Overview
CPT 01925 describes anesthesia services provided for patients undergoing therapeutic interventional radiological procedures involving the carotid or coronary arteries. This code covers anesthesia care specific to radiological interventions targeting these arterial sites.
Service Type: Anesthesia for radiological procedures
Typical Site of Service: Outpatient Hospital (POS 22)
Clinical & Coding Specifications
Clinical Context
A 58-year-old patient with unilateral primary osteoarthritis of the knee presents for a therapeutic interventional radiological procedure involving carotid or coronary arterial access for targeted vascular therapy. The clinical workflow begins with pre-procedure anesthesia evaluation in the outpatient hospital (POS 22), verification of medical history including diagnoses such as M17.11 or M17.12, ASA classification documentation (for example P1 if applicable), and informed consent. On procedure day the anesthesia team provides monitored anesthesia care or general anesthesia per the procedural requirements. Intra-procedural monitoring and hemodynamic management occur in coordination with the interventional radiology team. After the procedure the patient is transferred to a post-anesthesia care unit for recovery and discharge planning to home or observation based on clinical status.
Coding Specifications
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Modifiers:
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QS- Monitored anesthesia care service. Used when monitored anesthesia care is provided during the radiological interventional procedure. -
P1- A normal healthy patient. Used to indicate the patient’s ASA physical status when documented as a normal healthy patient. -
Provider Taxonomies:
| Taxonomy Code | Specialty |
|---|---|
207L00000X | Anesthesiology - physician specialty providing anesthesia services |
207RA0401X | Anesthesiology Assistant - practitioner supporting anesthesiologist care |
367H00000X | Anesthesiologist Assistant - midlevel provider assisting with anesthesia delivery |
Related Diagnoses
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M23.50- Chronic instability of knee, unspecified kneeChronic knee instability may affect peri-procedural mobility and positioning considerations but is not a direct indication for carotid or coronary interventional radiology; it is part of the patient’s comorbidity profile.
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M25.561- Pain in right kneeKnee pain represents a comorbid musculoskeletal symptom that may influence analgesic needs and positioning but is not the primary indication for arterial interventional radiology.
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M25.562- Pain in left kneeAs with
M25.561, left knee pain is a comorbidity relevant to peri-procedural pain management and mobility considerations. -
M17.11- Unilateral primary osteoarthritis, right kneeOsteoarthritis is a chronic musculoskeletal diagnosis that may affect baseline functional status and perioperative planning, recorded as a comorbidity during anesthesia assessment.
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M17.12- Unilateral primary osteoarthritis, left kneeSame clinical relevance as
M17.11for the contralateral knee; documented as part of the patient’s medical history and peri-procedural risk assessment.
Related CPT Codes
| CPT Code | Description |
|---|---|
01924 | Anesthesia for therapeutic interventional radiological procedures involving the arterial system. |
01926 | Anesthesia for therapeutic interventional radiological procedures involving intracranial, intracardiac, or aortic arteries. |
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Relationship to primary code
01925: -
01924is used for anesthesia services for therapeutic interventional radiological procedures involving the arterial system and may be an alternative code when the procedure is not specific to carotid or coronary arteries. -
01926covers anesthesia for procedures involving intracranial, intracardiac, or aortic arteries and is used as an alternative when the targeted arterial territory matches those locations rather than carotid or coronary arteries. -
01924and01926are commonly considered alongside01925to select the most anatomically appropriate anesthesia code for therapeutic interventional radiological arterial procedures.
National Reimbursement Benchmarks
National commercial mean rates exceed Medicare substantially when using BUCA (average commercial) as a reference point: BUCA’s mean allowed rate is $191.07 compared with Medicare represented here as not provided in the input (shown as $0.00 in tables). Among commercial payers, mean rates vary widely, with Cigna and Blue Cross Blue Shield toward the higher end and UnitedHealth Group substantially lower.
Dispersion (P75 minus P25) is widest for Cigna (692.00 - 89.00 = 603.00) and Aetna (495.00 - 40.00 = 455.00), indicating broader spread in allowed rates. The tightest dispersion is UnitedHealth Group (75.00 - 50.17 = 24.83), followed by BUCA (292.50 - 45.00 = 247.50). 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 01925, particularly among Blue Cross Blue Shield, where the difference between the 75th and 25th percentiles is $163.15 ($583.75 minus $420.60). BUCA also shows a notable spread of $259.05 ($448.80 minus $189.75), indicating significant variability in reimbursement rates across payers. In contrast, Aetna, Cigna, and UnitedHealth Group have minimal spreads, with all percentiles clustered closely together, suggesting more uniform rates for these payers.
Compared to national averages, Alaska's mean rates for Blue Cross Blue Shield and BUCA are considerably higher, while Cigna and UnitedHealth Group are below their respective national means. The table and chart below present the full breakdown of payer-specific reimbursement rates for CPT code 01925 in Alaska.
Key Insights for Alaska
- Blue Cross Blue Shield is the highest paying payer for CPT 01925 in Alaska, with a mean rate of $508.83.
- UnitedHealth Group offers the lowest mean rate at $74.78.
- 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.