CPT 00124 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 |
| Common Modifiers | • None • QX - Qualified nonphysician anesthetist service: With medical direction by a physician • QK - Medical direction of two, three or four concurrent anesthesia procedures |
| Complexity Level | Low |
National average anesthesia conversion factor for CPT 00124 by major payers:
$53.28
$55.67
$56.75
$54.25
| 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 00124 | ||||||
United | 00124 | $47.00 | 1699768705 - GONZALES HEALTHCARE SYSTEMS | 741625013 | TX | General Acute Care Hospital (282N00000X) |
United | 00124 | $128.69 | 1013283837 - CHRIS ABRECHT | 943281663 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00124 | $65.00 | 1720137763 - HUY PHUN | 330636378 - (CA) ANESTHESIA CONSULTANTS OF CALIFORNIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00124 | $63.00 | 1598771511 - GARY HUM | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00124 | $61.00 | 1073347373 - SEBASTIAN ZEINER | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00124 | $55.50 | 1346205663 - RICHARD KELLY | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 00124 | $63.00 | 1750301339 - PEJMAN LAHIJI | 954444226 - (CA) BUENA VISTA ANESTHESIA MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00124 | $81.44 | 1679070692 - STEPHANIE FRANK | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 00124 | $60.00 | 1255471876 - ANA CHU | 330406164 | CA | Anesthesiology Physician (207L00000X) |
United | 00124 | $65.00 | 1841619244 - MARK BOYAJIAN | 474880567 - (CA) WEST HILLS ANESTHESIA AND PERIOPERATIVE PHYSICIANS | CA | Anesthesiology Physician (207L00000X) |
United | 00124 | $128.69 | 1447937388 - STEPHEN HOWEY | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00124 | $62.00 | 1073527412 - RICHARD ROMO | 852611756 - (CA) OAK CREEK ANESTHESIA SERVICES INC | CA | Anesthesiology Physician (207L00000X) |
United | 00124 | $61.00 | 1942761952 - TIFFANY CHEN | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00124 | $117.22 | 1346508843 - RYAN TONE | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 00124 | $67.09 | 1821450594 - MICHAEL CURTIS | 943281660 | 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 00124 vs. Other Anesthesia for Procedures on the Head Codes
The CPT 00124 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 00124 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 |
|---|---|---|
| 00120-CPT | Moderate | Anesthesia For Procedures On External,Middle And Inner Ear Including Biopsy; Not Other- Wise Specified |
| 00124-CPT | Low | Anes External/Mid/Inner Ear W Biopsy Oto |
| 00126-CPT | Low | Anes External/Mid/Inner Ear W Biopsy Tym |
| 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 00124. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00124 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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