CPT 00103 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 | • 24 - Ambulatory Surgical Center • 22 - On Campus Outpatient Hospital • 19 - Off Campus Outpatient Hospital |
| Common Modifiers | • QS - Monitored anesthesia care service • QZ - CRNA service; without medical direction by a physician • AA - Anesthesia by anesthesiologist |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 00103 by major payers:
$50.22
$55.74
$56.36
$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 00103 | ||||||
United | 00103 | $121.22 | 1710481213 - CLARA VU | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00103 | $67.09 | 1841751385 - MARYTE GYLYS | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 00103 | $69.00 | 1235422676 - WARREN DAVIS | 330440096 - (CA) NEWPORT HARBOR ANESTHESIA CONSULTANTS MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00103 | $58.52 | 1275510422 - MAY BANIGO | 952282647 - (CA) WHITE MEMORIAL MEDICAL CENTER | CA | Anesthesiology Physician (207L00000X) |
United | 00103 | $54.00 | 1295830958 - YI CHIANG | 260287760 - (CA) SOMA ORTHOPEDICS MEDICAL GROUP, INC | CA | Anesthesiology Physician (207L00000X) |
United | 00103 | $38.00 | 1467485730 - REGINALD AJAKWE | 465399312 - (CA) COMPREHENSIVE SPINE AND PAIN PHYSICIANS | CA | Anesthesiology Physician (207L00000X) |
United | 00103 | $60.00 | 1902033574 - KARVIER YATES | 680334324 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00103 | $54.00 | 1659311389 - MIN YOON | 943158784 - (CA) ANESTHESIA CARE ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00103 | $121.22 | 1376746834 - ANITA GUPTA | 954377219 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00103 | $110.00 | 1346565702 - VANESSA MOLL | 465444821 - (MN) UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00103 | $57.50 | 1174853477 - PRITUL PATEL | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00103 | $61.00 | 1790985331 - VALERI WALKER | 364418750 - (CA) SIMI VALLEY ANESTHESIA MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00103 | $31.00 | 1417091133 - MICHAEL SHAHBAZIAN | 330925088 - (CA) AFSHIN GERAYLI MD A PROFESSIONAL CORPORATION | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00103 | $82.00 | 1750300372 - BRUCE CHOU | 273597066 - FIRST CHOICE PHYSICIAN PARTNERS | CA | Anesthesiology Physician (207L00000X) |
United | 00103 | $99.00 | 1134418023 - EILON GABEL | 954395492 | 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 00103 vs. Other Anesthesia for Procedures on the Head Codes
The CPT 00103 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 00103 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 |
|---|---|---|
| 00102-CPT | Moderate | Anesthesia For Plastic Repair Of Cleft Lip, Including Biopsynot Otherwise Specified |
| 00103-CPT | Moderate | Anes Recon Proc Of Eyelid |
| 00142-CPT | Low | Anesthesia For Procedures On Eye; Lens Surgery (Units: 4 Asa: 6) |
| 00144-CPT | Moderate | Anesthesia For Procedures On Eye; Corneal Transplant (Units: 6) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00103. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00103 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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