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See a sample rate comparisonCPT 00160 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.
Anesthe For Procs On Nose & Accessory Sinuses; Not Otherwise, Anesthesia For Procedures On Nose And Accessory Sinuses; Not Otherwise
| 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 QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00160 |
National average anesthesia conversion factor for CPT 00160 by major payers:
$50.40
$55.74
$56.06
$54.41
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CPT 00160
5 of 25 sample ratesHigher to lower in this preview
Alexander Goswell
$128.69Published rateKyle Sanders
Childrens Hospital Los Angeles Medical Group Inc
$77.18Published rateKelsey Kukuruza
$65.00Published rateLeili Khorassani
University Of Chicago
$60.00Published rateSpencer Drotman
Temple University-Of The Commonwealth System Of Higher Educ
$50.00Published rate
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See a sample payer proposalCPT 00160 vs. Other Anesthesia for Procedures on the Head Codes
The CPT 00160 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 00160 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 |
|---|---|---|
| 00160-CPT | Moderate | Anesthe For Procs On Nose & Accessory Sinuses; Not Otherwise, Anesthesia For Procedures On Nose And Accessory Sinuses; Not Otherwise |
| 00162-CPT | Moderate | Anesthe For Procs On Nose & Accessory Sinuses; Radical Surge, Anesthesia For Procedures On Nose And Accessory Sinuses; Radical Surge |
| 00164-CPT | Low | Anesthe For Procs On Nose & Accessory Sinuses; Biops Soft, Anesthesia For Procedures On Nose And Accessory Sinuses; Biopsy Soft |
| 00170-CPT | Moderate | Anesthesia For Mouth Procedure, Anesthesia Services For A Procedure On The Inside Of The Mouth. Procedures Can Include Removing A Sample Of Tissue For Testing (Biopsy) Tumor Removal And Saliva Gland Surgery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00160. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00160 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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