CPT 00104 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 • 21 - Inpatient Hospital |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • P3 - A patient with severe systemic disease |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 00104 |
National average anesthesia conversion factor for CPT 00104 by major payers:
$58.09
$55.74
$56.53
$54.29
| 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 00104 | ||||||
United | 00104 | $121.22 | 1376988303 - MATTHEW VANDIVER | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00104 | $58.00 | 1508887720 - VARTAN TARAKCHYAN | 464316329 | CA | Anesthesiology Physician (207L00000X) |
United | 00104 | $61.59 | 1609819895 - HARJINDER DHALIWAL | 680174393 - (CA) METROPOLITAN ANESTHESIOLOGY CONSULTANTS INC | CA | Anesthesiology Physician (207L00000X) |
United | 00104 | $90.00 | 1447604103 - XIAO LIU | 850889913 - (TX) SOUND PHYSICIANS ANESTHESIOLOGY OF TEXAS PLLC | CA | Anesthesiology Physician (207L00000X) |
United | 00104 | $57.50 | 1386673200 - HARVEY ROSENBAUM | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00104 | $55.50 | 1851822084 - JAMES KAHN | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 00104 | $121.22 | 1932141488 - WENDY REN | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00104 | $69.00 | 1801214549 - CHRISTOPHER SATTLER | 680304987 - (CA) NORTHERN CALIFORNIA ANESTHESIA PHYSICIANS, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00104 | $60.00 | 1790206415 - AAKASH PATEL | 134169311 - (NY) NORTH BRONX FACULTY PRACTICE CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 00104 | $121.22 | 1306880976 - MARC IRAVANI | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00104 | $38.00 | 1790841799 - NAVID FARAHMAND | 832170935 - (CA) ACHIEVE BRAIN AND SPINE | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00104 | $62.00 | 1619589512 - OAK CREEK ANESTHESIA SERVICES, INC. | 852611756 - (CA) OAK CREEK ANESTHESIA SERVICES INC | CA | Anesthesiology Physician (207L00000X) |
United | 00104 | $70.00 | 1801861679 - PRAKOB VASSANTACHART | 330494633 | CA | Anesthesiology Physician (207L00000X) |
United | 00104 | $70.00 | 1588705180 - VANILA SINGH | 260089066 | CA | Anesthesiology Physician (207L00000X) |
United | 00104 | $81.44 | 1144493149 - MELODY CHANG | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
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 00104 vs. Other Anesthesia for Procedures on the Head Codes
The CPT 00104 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 00104 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 |
| 00103-CPT | Moderate | Anes Recon Proc Of Eyelid |
| 00104-CPT | Low | Anes Electroconvulsive Therapy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00104. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00104 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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