{"id":158593,"date":"2026-07-17T14:34:28","date_gmt":"2026-07-17T14:34:28","guid":{"rendered":"https:\/\/pabau.com\/?p=158593"},"modified":"2026-08-17T11:41:23","modified_gmt":"2026-08-17T11:41:23","slug":"cpt-code-00930","status":"publish","type":"post","link":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-00930\/","title":{"rendered":"CPT Code 00930: Anesthesia for orchiopexy and male genitalia procedures"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"CPT Code 00930: Anesthesia for orchiopexy and male genitalia procedures\",\"description\":\"CPT Code 00930 covers anesthesia for orchiopexy (unilateral or bilateral) and open urethral procedures. Learn base units, billing formula, modifiers, and reimbursement rates.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/cpt-code-00930\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-07-07\",\"dateModified\":\"2026-07-17\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key Takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key Takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>CPT Code 00930 describes anesthesia for orchiopexy (unilateral or bilateral) and open urethral procedures on the male genitalia.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The code carries 4 ASA base units. Reimbursement calculates as (Base Units + Time Units + Modifying Units) times the CMS conversion factor.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Physical status modifiers (P1-P6) and medical direction modifiers (AA, QK, QX, QY, QZ) are required. Incorrect modifier selection is the leading cause of claim denial.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Pabau&#8217;s claims management software helps anesthesia billing teams track modifier assignment, time unit entry, and claim submission accuracy in one workflow.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">CPT Code 00930 is the anesthesia code anesthesiologists and CRNAs bill for orchiopexy, unilateral or bilateral, and open urethral procedures on male patients. It covers the anesthesia service only, not the surgical procedure itself, and requires the correct physical status modifier, medical direction code, and time units on every claim.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This reference covers everything billers and coders need for CPT Code 00930: the official descriptor, 4-unit base value, the (B+T+M) x CF formula with a worked example, all applicable modifiers, qualifying circumstances, Medicare reimbursement context, related codes in the 00920-00952 range, and common billing errors to avoid.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"CPT Coding Pitfalls Every Medical Practice Faces\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/vbvV5okdXKg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 id=\"h-cpt-code-00930-definition-and-clinical-description\" class=\"wp-block-heading\">CPT Code 00930: definition and clinical description<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>CPT Code 00930<\/strong> is an anesthesia code published by the <a href=\"https:\/\/www.ama-assn.org\/practice-management\/cpt\/cpt-code-set-overview\" target=\"_blank\" rel=\"nofollow noopener\">American Medical Association (AMA)<\/a> under the CPT code set. Its official descriptor reads: <em>Anesthesia for procedures on male genitalia (including open urethral procedures); orchiopexy, unilateral or bilateral.<\/em> The code falls within the Male Genitalia Anesthesia section of the CPT manual (range 00920-00952).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">CPT Code 00930 is used by anesthesiologists and Certified Registered Nurse Anesthetists (CRNAs) billing for anesthesia services during these specific surgical procedures. It captures only the anesthesia component of care. Surgeons billing for orchiopexy itself use separate CPT codes from the urological surgery section.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Field<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Detail<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">CPT Code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">00930<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Official Descriptor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Anesthesia for procedures on male genitalia (including open urethral procedures); orchiopexy, unilateral or bilateral<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">CPT Section<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Anesthesia for Procedures on the Male Genitalia (00920-00952)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">ASA Base Units<\/td>\n<td style=\"padding:12px 16px;color:#374151\">4<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Billed By<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Anesthesiologist, CRNA<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Surgical Approach<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open (not laparoscopic)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<h2 id=\"h-clinical-procedures-covered-by-cpt-code-00930\" class=\"wp-block-heading\">Clinical procedures covered by CPT Code 00930<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Orchiopexy corrects cryptorchidism, the condition where one or both testes fail to descend into the scrotum during development. The procedure repositions the undescended testis and secures it surgically. CPT Code 00930 covers the anesthesia for this procedure whether performed on one side (unilateral) or both (bilateral) in the same operative session.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bilateral orchiopexy does not require a separate anesthesia code or a bilateral modifier. The single CPT Code 00930 descriptor already captures both anatomical sides. Practices running men&#8217;s health clinic software handle these cases routinely and should confirm bilateral documentation is in the operative note before submission.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Open urethral procedures on male patients also fall under CPT Code 00930 when general or regional anesthesia is administered. The code applies to the open surgical approach only. Laparoscopic or endoscopic urethral procedures may map to a different anesthesia code, so verify against the specific CPT section guidance and payer policy before billing. When an indwelling catheter is placed as part of the procedure, confirm separately whether the supply is billed under its own HCPCS code, such as A4311.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Good pre-operative medical practice forms that capture surgical approach, laterality, and anesthesia start\/stop times are the foundation for accurate CPT Code 00930 claims. Missing this detail downstream creates avoidable denials.<\/p>\n\n\n\n<h2 id=\"h-anesthesia-base-units-and-the-billing-formula-for-cpt-code-00930\" class=\"wp-block-heading\">Anesthesia base units and the billing formula for CPT Code 00930<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT Code 00930 carries <strong>4 ASA base units<\/strong>, as established by the American Society of Anesthesiologists (ASA) Relative Value Guide and confirmed by the <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\/overview\" target=\"_blank\" rel=\"nofollow noopener\">Medicare Physician Fee Schedule<\/a>. Base units reflect the complexity of the anesthesia service for that category of procedure, independent of how long the case runs.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Total reimbursement for anesthesia is not flat. It uses a unit-based formula where time and patient complexity both affect the final payment.<\/p>\n\n\n\n<h3 id=\"h-the-anesthesia-billing-formula\" class=\"wp-block-heading\">The anesthesia billing formula<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The standard ASA and CMS formula is: <strong>(Base Units + Time Units + Modifying Units) x Conversion Factor = Reimbursement<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Base Units:<\/strong> 4 (fixed for CPT Code 00930)<\/li>\n\n\n\n<li><strong>Time Units:<\/strong> 1 unit per 15 minutes of anesthesia time (some commercial payers use 1 unit per 10 minutes, confirm per payer contract)<\/li>\n\n\n\n<li><strong>Modifying Units:<\/strong> additional units from physical status or qualifying circumstances codes<\/li>\n\n\n\n<li><strong>Conversion Factor:<\/strong> the CMS anesthesia conversion factor, updated annually. It varies by locality and Medicare Administrative Contractor (MAC)<\/li>\n<\/ul>\n\n\n\n<h3 id=\"h-worked-billing-example\" class=\"wp-block-heading\">Worked billing example<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A 7-year-old patient (qualifying for the 99100 extreme age circumstance) undergoes unilateral orchiopexy under general anesthesia. Anesthesia time: 45 minutes. Physical status: P1 (no additional modifying units for P1). Qualifying circumstances: 99100 adds 1 modifying unit.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Component<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Calculation<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Units<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Base units<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Fixed for CPT Code 00930<\/td>\n<td style=\"padding:12px 16px;color:#374151\">4<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Time units<\/td>\n<td style=\"padding:12px 16px;color:#374151\">45 min \/ 15 = 3 units<\/td>\n<td style=\"padding:12px 16px;color:#374151\">3<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Modifying units (99100)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Extreme age qualifying circumstance<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Total units<\/td>\n<td style=\"padding:12px 16px;color:#374151\">4 + 3 + 1<\/td>\n<td style=\"padding:12px 16px;color:#374151\">8<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Reimbursement<\/td>\n<td style=\"padding:12px 16px;color:#374151\">8 units x locality conversion factor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Varies by MAC<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The CMS anesthesia conversion factor is updated every January. Never apply a prior-year figure without confirming the current rate from <a href=\"https:\/\/fastrvu.com\/tools\/rvu-lookup\" target=\"_blank\" rel=\"nofollow noopener\">FastRVU&#8217;s 2026 RVU lookup<\/a> or your MAC&#8217;s fee schedule. Reimbursement also varies by locality: a New York-based anesthesiologist receives a different payment per unit than a practice in rural Mississippi for the same CPT Code 00930 claim.<\/p>\n\n\n\n<h2 id=\"h-modifiers-for-cpt-code-00930\" class=\"wp-block-heading\">Modifiers for CPT Code 00930<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Anesthesia codes require modifiers that other CPT categories do not. Two modifier families are mandatory: physical status and medical direction. Getting either one wrong is the fastest route to a denial or audit flag on a CPT Code 00930 claim. For broader context on how modifier logic fits into <a href=\"https:\/\/pabau.com\/blog\/best-medical-practice-management-software\/\" rel=\"noopener\">medical practice management<\/a>, the billing workflow matters as much as the code itself.<\/p>\n\n\n\n<h3 id=\"h-physical-status-modifiers-p1-p6\" class=\"wp-block-heading\">Physical status modifiers (P1-P6)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Physical status modifiers reflect the patient&#8217;s overall health at the time of anesthesia. They are defined by the ASA and must appear on every anesthesia claim. P3 and above add modifying units to the billing total.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Modifier<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Patient Status<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Additional Units<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">P1<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Normal healthy patient<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">P2<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Mild systemic disease<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">P3<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Severe systemic disease<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">P4<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Severe systemic disease that is a constant threat to life<\/td>\n<td style=\"padding:12px 16px;color:#374151\">2<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">P5<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Moribund patient not expected to survive without the operation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">3<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">P6<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Brain-dead patient for organ donation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0 (not separately reimbursed by Medicare)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Additional unit values per physical status level vary by payer. Confirm current values against your MAC policy before billing, as commercial insurers may differ from Medicare.<\/p>\n\n\n\n<h3 id=\"h-medical-direction-and-supervision-modifiers\" class=\"wp-block-heading\">Medical direction and supervision modifiers<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Medical direction modifiers tell the payer who administered the anesthesia and in what supervisory capacity. They affect both reimbursement rate and compliance standing.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Modifier<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Billing Implication<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">AA<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Anesthesiologist personally performed<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Full fee schedule amount<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">QK<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Medical direction of 2-4 concurrent CRNA procedures<\/td>\n<td style=\"padding:12px 16px;color:#374151\">50% of fee schedule (anesthesiologist)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">QX<\/td>\n<td style=\"padding:12px 16px;color:#374151\">CRNA with medical direction by physician<\/td>\n<td style=\"padding:12px 16px;color:#374151\">50% of fee schedule (CRNA)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">QY<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Medical direction of one CRNA by anesthesiologist<\/td>\n<td style=\"padding:12px 16px;color:#374151\">50% of fee schedule (anesthesiologist)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">QZ<\/td>\n<td style=\"padding:12px 16px;color:#374151\">CRNA without medical direction<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Full fee schedule (CRNA independently)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">QK and QX must always be billed as a matched pair: the anesthesiologist submits QK and each directed CRNA submits QX on their own claim. Submitting only one side is an automatic edit failure.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Reduce anesthesia claim errors before they leave your practice                <\/h3>\n\n                <p class=\"description\">\n                    Pabau&#8217;s billing and claims management tools help anesthesia teams track modifier assignments, time unit entries, and claim status across every procedure code, including CPT Code 00930.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau claims management dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-qualifying-circumstances-for-cpt-code-00930\" class=\"wp-block-heading\">Qualifying circumstances for CPT Code 00930<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Qualifying circumstances are add-on codes that capture anesthesia provided under unusually difficult conditions. They are billed alongside CPT Code 00930, not instead of it. Not every payer accepts all qualifying circumstances codes, so verify with the specific payer before reporting. When 99140 applies because the case originated as an emergency, check whether the patient&#8217;s emergency department visit, such as one billed under 99284, is documented to support medical necessity.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Additional Units<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">99100<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Anesthesia for patient under 1 year or over 70 years of age<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">99116<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Utilization of total body hypothermia<\/td>\n<td style=\"padding:12px 16px;color:#374151\">5<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">99135<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Controlled hypotension during anesthesia<\/td>\n<td style=\"padding:12px 16px;color:#374151\">5<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">99140<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Emergency conditions (specify)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">2<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Code 99100 applies most frequently with CPT Code 00930 because orchiopexy is commonly performed on pediatric patients, and children under age 1 qualify. The operative report must document why the qualifying circumstance was present. Without documentation, the code will be denied on audit.<\/p>\n\n\n\n<h2 id=\"h-medicare-reimbursement-rates-for-cpt-code-00930\" class=\"wp-block-heading\">Medicare reimbursement rates for CPT Code 00930<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare pays for anesthesia services using the unit-based formula above, applied to the current anesthesia conversion factor. The conversion factor is published annually by CMS through the Medicare Physician Fee Schedule and differs by locality. Medicare does not reimburse at a flat dollar amount per procedure for anesthesia codes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For CPT Code 00930, the relevant billing variables under Medicare are:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Base units:<\/strong> 4 (verified, consistent across all payers)<\/li>\n\n\n\n<li><strong>Conversion factor:<\/strong> Check the current CMS anesthesia conversion factor via the CMS Physician Fee Schedule search for your locality code<\/li>\n\n\n\n<li><strong>Geographic adjustment:<\/strong> The Geographic Practice Cost Index (GPCI) modifies the conversion factor by locality<\/li>\n\n\n\n<li><strong>Payer variation:<\/strong> Commercial insurers often pay at a different conversion factor than Medicare. Contracted rates vary by carrier and plan<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">For current 2026 reimbursement values broken down by RVU component, filter your MAC&#8217;s published fee schedule by anesthesia codes. This is more reliable than relying on a static fee schedule published before the annual CMS update.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Before finalizing any CPT Code 00930 claim, pull the current conversion factor from your MAC&#8217;s fee schedule, not from a third-party reference table. Conversion factors for anesthesia are updated every January, and using a prior-year figure is one of the most common causes of underpayment on anesthesia claims.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-related-codes-in-the-00920-00952-anesthesia-range\" class=\"wp-block-heading\">Related codes in the 00920-00952 anesthesia range<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT Code 00930 sits within the Male Genitalia Anesthesia section of the CPT manual. Selecting the wrong code from this range is a frequent error when the procedure type or anatomical area is not confirmed before billing. Misapplying codes here creates the same compliance exposure as picking the wrong code family entirely. Compare the full range below before assigning any anesthesia code in this section.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Procedure Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Base Units<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">00920<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Male genitalia procedures, not otherwise specified<\/td>\n<td style=\"padding:12px 16px;color:#374151\">3<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">00926<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Radical orchiectomy, inguinal<\/td>\n<td style=\"padding:12px 16px;color:#374151\">4<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">00928<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Radical orchiectomy, abdominal<\/td>\n<td style=\"padding:12px 16px;color:#374151\">6<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\"><strong>00930<\/strong><\/td>\n<td style=\"padding:12px 16px;color:#374151\">Orchiopexy, unilateral or bilateral<\/td>\n<td style=\"padding:12px 16px;color:#374151\">4<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">00932<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Complete amputation of penis (incl. open urethral procedures)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">4<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">00934<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Radical amputation of penis with bilateral inguinal lymph node removal<\/td>\n<td style=\"padding:12px 16px;color:#374151\">6<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">00940<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Anesthesia for vaginal procedures, with or without biopsy, NOS (not a male-genitalia code)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">3<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">00948<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Cervical cerclage, including biopsy<\/td>\n<td style=\"padding:12px 16px;color:#374151\">4<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">00952<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hysteroscopy and\/or hysterosalpingography with biopsy<\/td>\n<td style=\"padding:12px 16px;color:#374151\">4<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Base unit values listed above are the standard ASA values, and payer-specific reimbursement may differ. CPT 00940 sits in the adjacent gynecologic anesthesia section rather than the male-genitalia range: see <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-00940\/\" rel=\"noopener\">00940<\/a> for that code&#8217;s own billing detail.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practices that handle both urology and reproductive care often reference IVF CPT codes and run fertility clinic software alongside general anesthesia billing tools, so every specialty stays in one system.<\/p>\n\n\n\n<h2 id=\"h-common-billing-errors-and-compliance-tips-for-cpt-code-00930\" class=\"wp-block-heading\">Common billing errors and compliance tips for CPT Code 00930<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Most CPT Code 00930 denials trace back to one of four avoidable errors. The same documentation discipline matters across unrelated code families too. Maintaining medical office HIPAA compliance throughout the billing workflow matters just as much, particularly when transmitting claim data electronically.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Wrong physical status modifier:<\/strong> Assigning P1 to a patient with documented comorbidities misrepresents clinical complexity and underbills. Assigning P3 without supporting documentation triggers audit. The physical status must match the pre-operative anesthesia assessment in the record.<\/li>\n\n\n\n<li><strong>Incorrect time unit rounding:<\/strong> Most payers require rounding to the nearest time unit at the end of a case, not rounding up at every 15-minute interval. Check your payer contract for the specific rounding rule before submitting.<\/li>\n\n\n\n<li><strong>Missing qualifying circumstances:<\/strong> Pediatric patients under age 1 qualify for 99100, but this code must appear on the claim and in the documentation. Forgetting to add it is free money left on the table. Payers rarely add it retroactively.<\/li>\n\n\n\n<li><strong>Bilateral orchiopexy billed with a bilateral modifier:<\/strong> CPT Code 00930 already encompasses bilateral cases in its descriptor. Adding modifier -50 (bilateral procedure) is incorrect and will trigger an edit. Bilateral is inherent to the code.<\/li>\n\n\n\n<li><strong>Mismatched QK\/QX pair:<\/strong> The anesthesiologist&#8217;s claim must show QK and the CRNA&#8217;s claim must show QX when medical direction applies to two to four concurrent cases. Submitting only one side of the pair results in denial of both claims.<\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-how-anesthesia-billing-software-supports-accurate-cpt-code-00930-claims\" class=\"wp-block-heading\">How anesthesia billing software supports accurate CPT Code 00930 claims<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Anesthesia billing has more moving parts than most CPT coding because the reimbursement amount changes with every case. Time varies. Physical status varies. Qualifying circumstances appear or not depending on the patient. A biller manually tracking all of this across a day&#8217;s caseload is exposed to every error listed above.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice-level claims management software addresses this by centralizing the modifier-to-code assignment check and flagging incomplete fields before submission. Pabau&#8217;s platform links the clinical record (procedure type, patient age, anesthesia start\/stop time) directly to the billing workflow, so the variables that determine CPT Code 00930 reimbursement are captured at the point of care, not reconstructed from memory hours later.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Leveraging automated billing workflows reduces the manual handoff steps where modifier errors most often appear.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/cpt-code-00930\/track-claims-from-start-to-finish.webp\" alt=\"Track claims from start to Finish\"\/><figcaption class=\"wp-element-caption\"><em>Track claims from start to Finish<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">For practices managing multiple anesthesiologists or a CRNA team, the QK\/QX pairing requirement becomes a tracking challenge. Software that surfaces concurrent case relationships at the claim-preparation stage eliminates the paired-modifier error before it reaches the payer. For more on how practice management software integrates billing and clinical documentation, the workflow benefits extend well beyond anesthesia coding.<\/p>\n\n\n\n<h2 id=\"h-the-bottom-line-on-cpt-code-00930\" class=\"wp-block-heading\">The bottom line on CPT Code 00930<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT Code 00930 is a straightforward anesthesia code for a specific procedure category, but the billing complexity sits in the modifier layer and the unit calculation. Four base units is the fixed starting point. Time, physical status, qualifying circumstances, and medical direction vary per case, and each one must be documented before the claim is submitted.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau&#8217;s claims management software helps anesthesia practices connect clinical documentation to billing data, apply modifiers consistently, and catch errors before they reach the payer. To see how it fits your anesthesia billing workflow, <a href=\"https:\/\/pabau.com\/book-demo\/\">book a demo<\/a>.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Managing billing for multiple CPT code families?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-00936\/\" rel=\"noopener\">00936<\/a> covers the related amputation code in the same male-genitalia anesthesia section.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need a compliance checklist for anesthesia billing documentation?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-checklist-for-primary-care\/\" rel=\"noopener\">HIPAA compliance checklist for primary care<\/a> covers the documentation and data-handling standards that apply to anesthesia claims.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Billing anesthesia for a transurethral procedure instead?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-00910\/\" rel=\"noopener\">00910<\/a> covers anesthesia for transurethral procedures in the adjacent genitourinary anesthesia range.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 class=\"wp-block-heading\">Related CPT codes<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-00932\/\">CPT code 00932 \u2014 anesthesia for amputation of penis<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-00934\/\">CPT code 00934 \u2014 Radical penectomy anesthesia<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-00936\/\">CPT code 00936 \u2014 Anesthesia for radical amputation of penis with<\/a><\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently Asked Questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1784295577459\"><h3 class=\"schema-faq-question\">What is CPT Code 00930 used for?<\/h3> <p class=\"schema-faq-answer\">CPT Code 00930 is an anesthesia code used for procedures on male genitalia, specifically orchiopexy (unilateral or bilateral) and open urethral procedures. It is billed by anesthesiologists and CRNAs for the anesthesia service during these surgeries, not by the operating surgeon.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784295577460\"><h3 class=\"schema-faq-question\">How many base units does CPT 00930 have?<\/h3> <p class=\"schema-faq-answer\">CPT Code 00930 has 4 ASA base units. This value is consistent across Medicare and most commercial payers. Base units are the starting point for the anesthesia billing formula: (Base Units + Time Units + Modifying Units) x Conversion Factor.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784295577461\"><h3 class=\"schema-faq-question\">Can CPT Code 00930 be billed for bilateral orchiopexy?<\/h3> <p class=\"schema-faq-answer\">Yes. The CPT Code 00930 descriptor explicitly states \u00abunilateral or bilateral,\u00bb so a single unit of the code covers both sides when orchiopexy is performed bilaterally in the same operative session. Do not append modifier -50. Doing so creates a duplicate billing edit.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784295577462\"><h3 class=\"schema-faq-question\">What qualifying circumstances codes apply to CPT Code 00930?<\/h3> <p class=\"schema-faq-answer\">The most common is 99100 (extreme age), which applies when the patient is under 1 year old. Orchiopexy is frequently performed on pediatric patients, making 99100 relevant for many CPT Code 00930 claims. Codes 99116, 99135, and 99140 apply in less common clinical scenarios and require payer verification before reporting.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784295577463\"><h3 class=\"schema-faq-question\">What is the difference between CPT codes 00920, 00930, and 00940?<\/h3> <p class=\"schema-faq-answer\">CPT 00920 (3 base units) covers general male genitalia procedures not otherwise specified. CPT Code 00930 (4 base units) specifically covers orchiopexy and open urethral procedures. CPT 00940 (3 base units) is not a male genitalia code. It covers anesthesia for vaginal procedures, with or without biopsy, in the adjacent gynecologic section of the CPT manual. Selecting the wrong code from this range is a common audit trigger.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784295577464\"><h3 class=\"schema-faq-question\">How is anesthesia reimbursement calculated for CPT Code 00930?<\/h3> <p class=\"schema-faq-answer\">Reimbursement uses the formula: (4 base units + time units + modifying units) x the current CMS anesthesia conversion factor for your locality. Time units are typically 1 unit per 15 minutes, though some commercial payers use 10-minute intervals. The conversion factor is updated annually by CMS and varies by Medicare Administrative Contractor region.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>CPT Code 00930 is the anesthesia code anesthesiologists and CRNAs bill for orchiopexy, unilateral or bilateral, and open urethral procedures on male patients. It covers the anesthesia service only, not the surgical procedure itself, and requires the correct physical status modifier, medical direction code, and time units on every claim. This reference covers everything billers [&hellip;]<\/p>\n","protected":false},"author":77,"featured_media":158592,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"91","_yoast_wpseo_content_score":"30","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1433,1546],"tags":[4162,2538],"class_list":["post-158593","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-cpt-codes","tag-anesthesia-billing","tag-urology-coding"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>CPT Code 00930: Base Units, Modifiers &amp; Billing Guide<\/title>\n<meta name=\"description\" content=\"CPT Code 00930 covers anesthesia for orchiopexy and open urethral procedures, billed at 4 ASA base units per the ASA Relative Value Guide.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-00930\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CPT Code 00930: Base Units, Modifiers &amp; Billing Guide\" \/>\n<meta property=\"og:description\" content=\"CPT Code 00930 covers anesthesia for orchiopexy and open urethral procedures, billed at 4 ASA base units per the ASA Relative Value Guide.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-00930\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta 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is an all-in-one healthcare practice management software platform designed for clinics, medspas, therapists, and medical professionals. It combines scheduling, electronic health records, clinical forms, payments, marketing automation, reporting, and patient engagement tools into one secure cloud system to help practices streamline operations and grow their business.\",\"foundingDate\":\"2011-10-20\",\"numberOfEmployees\":{\"@type\":\"QuantitativeValue\",\"minValue\":\"201\",\"maxValue\":\"500\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#\\\/schema\\\/person\\\/5de22f4ff3ec59b1925ef02dce956d7d\",\"name\":\"Katy Piper\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/03\\\/cropped-Snip20260306_177-96x96.png\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/03\\\/cropped-Snip20260306_177-96x96.png\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/03\\\/cropped-Snip20260306_177-96x96.png\",\"caption\":\"Katy Piper\"},\"description\":\"Katy Piper is a content writer covering aesthetics, dermatology, and clinic operations, with a knack for making clinical detail feel approachable. Outside of work, she's usually chasing her border collie around muddy fields or hunting down the best flat white in town.\",\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/blog\\\/author\\\/katy-piper\\\/\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-00930\\\/#faq-question-1784295577459\",\"position\":1,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-00930\\\/#faq-question-1784295577459\",\"name\":\"What is CPT Code 00930 used for?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"CPT Code 00930 is an anesthesia code used for procedures on male genitalia, specifically orchiopexy (unilateral or bilateral) and open urethral procedures. It is billed by anesthesiologists and CRNAs for the anesthesia service during these surgeries, not by the operating surgeon.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-00930\\\/#faq-question-1784295577460\",\"position\":2,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-00930\\\/#faq-question-1784295577460\",\"name\":\"How many base units does CPT 00930 have?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"CPT Code 00930 has 4 ASA base units. This value is consistent across Medicare and most commercial payers. Base units are the starting point for the anesthesia billing formula: (Base Units + Time Units + Modifying Units) x Conversion Factor.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-00930\\\/#faq-question-1784295577461\",\"position\":3,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-00930\\\/#faq-question-1784295577461\",\"name\":\"Can CPT Code 00930 be billed for bilateral orchiopexy?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. The CPT Code 00930 descriptor explicitly states \\\"unilateral or bilateral,\\\" so a single unit of the code covers both sides when orchiopexy is performed bilaterally in the same operative session. Do not append modifier -50. Doing so creates a duplicate billing edit.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-00930\\\/#faq-question-1784295577462\",\"position\":4,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-00930\\\/#faq-question-1784295577462\",\"name\":\"What qualifying circumstances codes apply to CPT Code 00930?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The most common is 99100 (extreme age), which applies when the patient is under 1 year old. Orchiopexy is frequently performed on pediatric patients, making 99100 relevant for many CPT Code 00930 claims. Codes 99116, 99135, and 99140 apply in less common clinical scenarios and require payer verification before reporting.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-00930\\\/#faq-question-1784295577463\",\"position\":5,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-00930\\\/#faq-question-1784295577463\",\"name\":\"What is the difference between CPT codes 00920, 00930, and 00940?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"CPT 00920 (3 base units) covers general male genitalia procedures not otherwise specified. CPT Code 00930 (4 base units) specifically covers orchiopexy and open urethral procedures. CPT 00940 (3 base units) is not a male genitalia code. It covers anesthesia for vaginal procedures, with or without biopsy, in the adjacent gynecologic section of the CPT manual. 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Outside of work, she's usually chasing her border collie around muddy fields or hunting down the best flat white in town.","url":"https:\/\/pabau.com\/es\/blog\/author\/katy-piper\/"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-00930\/#faq-question-1784295577459","position":1,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-00930\/#faq-question-1784295577459","name":"What is CPT Code 00930 used for?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"CPT Code 00930 is an anesthesia code used for procedures on male genitalia, specifically orchiopexy (unilateral or bilateral) and open urethral procedures. It is billed by anesthesiologists and CRNAs for the anesthesia service during these surgeries, not by the operating surgeon.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-00930\/#faq-question-1784295577460","position":2,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-00930\/#faq-question-1784295577460","name":"How many base units does CPT 00930 have?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"CPT Code 00930 has 4 ASA base units. This value is consistent across Medicare and most commercial payers. Base units are the starting point for the anesthesia billing formula: (Base Units + Time Units + Modifying Units) x Conversion Factor.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-00930\/#faq-question-1784295577461","position":3,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-00930\/#faq-question-1784295577461","name":"Can CPT Code 00930 be billed for bilateral orchiopexy?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes. The CPT Code 00930 descriptor explicitly states \"unilateral or bilateral,\" so a single unit of the code covers both sides when orchiopexy is performed bilaterally in the same operative session. Do not append modifier -50. Doing so creates a duplicate billing edit.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-00930\/#faq-question-1784295577462","position":4,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-00930\/#faq-question-1784295577462","name":"What qualifying circumstances codes apply to CPT Code 00930?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"The most common is 99100 (extreme age), which applies when the patient is under 1 year old. Orchiopexy is frequently performed on pediatric patients, making 99100 relevant for many CPT Code 00930 claims. Codes 99116, 99135, and 99140 apply in less common clinical scenarios and require payer verification before reporting.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-00930\/#faq-question-1784295577463","position":5,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-00930\/#faq-question-1784295577463","name":"What is the difference between CPT codes 00920, 00930, and 00940?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"CPT 00920 (3 base units) covers general male genitalia procedures not otherwise specified. CPT Code 00930 (4 base units) specifically covers orchiopexy and open urethral procedures. CPT 00940 (3 base units) is not a male genitalia code. It covers anesthesia for vaginal procedures, with or without biopsy, in the adjacent gynecologic section of the CPT manual. Selecting the wrong code from this range is a common audit trigger.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-00930\/#faq-question-1784295577464","position":6,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-00930\/#faq-question-1784295577464","name":"How is anesthesia reimbursement calculated for CPT Code 00930?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Reimbursement uses the formula: (4 base units + time units + modifying units) x the current CMS anesthesia conversion factor for your locality. Time units are typically 1 unit per 15 minutes, though some commercial payers use 10-minute intervals. The conversion factor is updated annually by CMS and varies by Medicare Administrative Contractor region.","inLanguage":"es"},"inLanguage":"es"}]}},"yoast":{"focus_keyword":"cpt code 00930","seo_title":"CPT Code 00930: Base Units, Modifiers & Billing Guide","meta_description":"CPT Code 00930 covers anesthesia for orchiopexy and open urethral procedures, billed at 4 ASA base units per the ASA Relative Value Guide.","content_score":"30","is_cornerstone":"","related_keyphrases":[{"keyword":"anesthesia base units calculation","score":61},{"keyword":"physical status modifiers anesthesia","score":72},{"keyword":"medicare anesthesia reimbursement rates","score":61}]},"_links":{"self":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/158593","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/users\/77"}],"replies":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/comments?post=158593"}],"version-history":[{"count":4,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/158593\/revisions"}],"predecessor-version":[{"id":181784,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/158593\/revisions\/181784"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/media\/158592"}],"wp:attachment":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/media?parent=158593"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/categories?post=158593"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/tags?post=158593"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}