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See a sample rate comparisonCPT 00126 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 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).
| 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 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None AA - Anesthesia by anesthesiologist P1 - A normal healthy patient |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 00126 |
National average anesthesia conversion factor for CPT 00126 by major payers:
$52.51
$55.71
$56.15
$54.25
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CPT 00126
5 of 25 sample ratesHigher to lower in this preview
Ramana Naidu
$128.69Published rateMichelle Harvey
$86.00Published rateQuynh Quach
Buena Vista Anesthesia Medical Group
$62.00Published rateJessica Kuo
$57.50Published rateValery D. Tarasenko, Md, Inc., Advanced Pain Management Institute
Valery D Tarasenko Md Inc
$36.00Published rate
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See a sample payer proposalCPT 00126 vs. Other Anesthesia for Procedures on the Head Codes
The CPT 00126 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 00126 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 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). |
| 00124-CPT | Low | 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). |
| 00126-CPT | Low | 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 00126. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00126 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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