CPT 00142 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 | Low |
National average anesthesia conversion factor for CPT 00142 by major payers:
$50.13
$55.71
$55.79
$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 00142 | ||||||
United | 00142 | $128.69 | 1962468793 - SUSAN CHENG | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00142 | $25.00 | 1992860142 - MARK BARCOHANA | 956130458 - EISENHOWER MEDICAL CENTER | CA | Anesthesiology Physician (207L00000X) |
United | 00142 | $55.00 | 1932527751 - DIANA HYLTON | 237064656 - HEALING THE SOUL | CA | Anesthesiology Physician (207L00000X) |
United | 00142 | $83.00 | 1982009759 - CEP AMERICA | 471884235 - CEP AMERICA | CA | Anesthesiology Physician (207L00000X) |
United | 00142 | $55.50 | 1023043767 - BRANDEE BAKER | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 00142 | $65.00 | 1548675259 - MOHAMMADREZA RASOULI | 770465765 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00142 | $128.69 | 1780046276 - KATE PETTY | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00142 | $128.69 | 1447937388 - STEPHEN HOWEY | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00142 | $52.00 | 1437610490 - ADELA PEREZ | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 00142 | $35.00 | 1790044998 - DEENA PEROTTI | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00142 | $55.00 | 1821452293 - ISABEL CHANG | 953942828 - (CA) PIH HEALTH PHYSICIANS | CA | Anesthesiology Physician (207L00000X) |
United | 00142 | $82.00 | 1629368261 - VIVEK DALAL | 264290978 - (CA) GREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC | CA | Anesthesiology Physician (207L00000X) |
United | 00142 | $57.00 | 1144286824 - ADOLFO BLANCO | 520595110 - JOHNS HOPKINS UNIVERSITY | CA | Anesthesiology Physician (207L00000X) |
United | 00142 | $60.00 | 1942256722 - FREDDIE MCCLENDON | 770413107 - (CA) VISALIA ANESTHESIA MEDICAL ASSOCIATES | CA | Anesthesiology Physician (207L00000X) |
United | 00142 | $65.00 | 1992190078 - EMILY STOCKERT | 770465765 | 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 00142 vs. Other Anesthesia for Procedures on the Head Codes
The CPT 00142 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 00142 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 |
|---|---|---|
| 00103-CPT | Moderate | Anes Recon Proc Of Eyelid |
| 00140-CPT | Moderate | Anesthesia For Procedures On Eye; Not Otherwise Specified (Units: 5) |
| 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 00142. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00142 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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