CPT 00100 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Anesthesia • Anesthesia for Procedures on the Head |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 24 - Ambulatory Surgical Center • 21 - Inpatient Hospital |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 00100 by major payers:
$57.62
$54.57
$56.63
$54.41
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 00100 | ||||||
United | 00100 | $66.13 | 1447382197 - STEVEN CHEN | 953942828 - (CA) PIH HEALTH PHYSICIANS | CA | Anesthesiology Physician (207L00000X) |
United | 00100 | $60.00 | 1982863536 - JACK BAIRAMIAN | 680334324 | CA | Anesthesiology Physician (207L00000X) |
United | 00100 | $147.14 | 1609810886 - BHUPENDRA DODHIAWALA | 461617561 - (NY) NORTH SHORE-LIJ ANESTHESIOLOGY PC | CA | Anesthesiology Physician (207L00000X) |
United | 00100 | $57.50 | 1891290813 - LAUREN SARTOR | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00100 | $38.00 | 1992868368 - MARYAM RAHBAR | 261820100 - (CA) M RAHBAR MD INC | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00100 | $55.00 | 1083926232 - PHILIP KHOURY | 880817607 - (CA) EXCELLE ANESTHESIA SERVICES INC | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00100 | $35.00 | 1912225673 - EUGENE KIM | 951644600 - CEDARS-SINAI MEDICAL CENTER | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00100 | $61.00 | 1124403860 - DANIELLE WILLIAMSON | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00100 | $78.00 | 1265634992 - TINA WONG | 954656412 - (CA) PACIFIC VALLEY MEDICAL GROUP | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00100 | $65.00 | 1982191672 - AYA ABOU-NASR | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 00100 | $57.50 | 1780115535 - ALBERT LEE | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00100 | $69.62 | 1417451410 - JEE HWAN CHOI | 954540991 - USC CARE MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 00100 | $81.44 | 1508884008 - ELIZABETH GHAZAL | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 00100 | $40.00 | 1902875982 - MARILYN DUBAN | 330941787 - (CA) DIOGENES ANESTHESIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00100 | $99.00 | 1548436462 - HARKIRAT CHAHAL | 954373071 | CA | Anesthesiology Physician (207L00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 00100 vs. Other Anesthesia for Procedures on the Head Codes
The CPT 00100 code is part of the Anesthesia services used for Anesthesia for Procedures on the Head. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 00100 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 00100-CPT | Moderate | Anesthesia For Procedures On Integumentary System Of Head And/Or Salivary Glands,Includ-Ing Biopsy;Not Otherwise Spec. |
| 00102-CPT | Moderate | Anesthesia For Plastic Repair Of Cleft Lip, Including Biopsynot Otherwise Specified |
| 00120-CPT | Moderate | Anesthesia For Procedures On External,Middle And Inner Ear Including Biopsy; Not Other- Wise Specified |
| 00160-CPT | Moderate | Anesthesia For Procedures On Nose And Accessory Sinuses; Not Otherwise Specified |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00100. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00100 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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