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See a sample rate comparisonCPT 00100 Fee Schedule
Last Verified: October 2026
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.
Anesthesia For Mouth Procedure, Anesthesia Services For A Procedure On The Inside Of The Mouth. Procedures Can Include Removing A Sample Of Tissue For Testing (Biopsy) Tumor Removal And Saliva Gland Surgery.
| 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 |
| Medicare Fee Schedule | View Medicare rates for 00100 |
National average anesthesia conversion factor for CPT 00100 by major payers:
$57.62
$54.57
$56.63
$54.41
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CPT 00100
5 of 25 sample ratesHigher to lower in this preview
Sandeep Sabhlok
Montefiore Medical Center
$249.14Published rateSophia Poorsattar
$99.00Published rateKristen Slater
$65.00Published rateOji Oji
Valley Regional Anesthesia Associates Inc
$56.00Published rateSteven Berlin
Steven H. Berlin, Md, Inc.
$44.00Published rate
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See a sample payer proposalCPT 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 Mouth Procedure, Anesthesia Services For A Procedure On The Inside Of The Mouth. Procedures Can Include Removing A Sample Of Tissue For Testing (Biopsy) Tumor Removal And Saliva Gland Surgery. |
| 00102-CPT | Moderate | Anesthesia For Mouth Repair, Anesthesia Services For Surgery To Repair An Opening Or Groove In A Lip Or The Roof Of The Mouth. The Procedure Can Include Removing A Sample Of Tissue For Testing (Biopsy). |
| 00120-CPT | Moderate | Anesthesia For Ear Surgery, Anesthesia Services For Surgery Involving Part Of The Ear Or Ear Canal Including A Surgery To Remove A Sample Of Tissue For Testing (Biopsy). |
| 00160-CPT | Moderate | Anesthe For Procs On Nose & Accessory Sinuses; Not Otherwise, Anesthesia For Procedures On Nose And Accessory Sinuses; Not Otherwise |
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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