CPT 00162 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 for Procedures on the Head Anesthesia |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None AA - Anesthesia by anesthesiologist P3 - A patient with severe systemic disease |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00162 |
National average anesthesia conversion factor for CPT 00162 by major payers:
$57.99
$55.80
$57.05
$54.74
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 00162 | $38.00 | 1205036423 - MARK POBLETE | 208633770 - (CA) RAZI D HEKMAT MD INC | CA | Anesthesiology Physician (207L00000X) |
United | 00162 | $91.75 | 1932764503 - DYLAN RIVERA | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 00162 | $35.00 | 1598763682 - CHIHJEN LEE | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00162 | $121.22 | 1144425711 - ANAHAT DHILLON | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00162 | $50.00 | 1053598060 - JOSHUA BONDURANT | 330185031 - (CA) PROVIDENCE MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00162 | $67.09 | 1184183212 - JONATHAN VILLANUEVA | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 00162 | $56.00 | 1629680665 - ANDY LE MD INC | 270168936 - (CA) ANDY LE MD INC | CA | Anesthesiology Physician (207L00000X) |
United | 00162 | $55.00 | 1669491403 - ALBERT LEUNG | 237064656 - HEALING THE SOUL | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00162 | $41.00 | 1487604419 - HOA PHAM | 770500726 - (CA) COMMUNITY ANESTHESIA PROVIDERS MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00162 | $121.22 | 1619164084 - KIMBERLY HOWARD-QUIJANO | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00162 | $52.50 | 1023338696 - REBECCA MARGOLIS | 953777340 - CHILDRENS HOSPITAL LOS ANGELES MEDICAL GROUP INC | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00162 | $99.00 | 1780115535 - ALBERT LEE | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00162 | $91.75 | 1831519719 - MOHAMMAD HASSANIAN | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 00162 | $71.19 | 1265499065 - RUSSELL GRAY | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00162 | $58.00 | 1831369594 - EAST BAY OPHTHALMIC ANESTHESIA INC | 800154758 - (CA) EAST BAY OPHTHALMIC ANESTHESIA INC | 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 00162 vs. Other Anesthesia Codes
The CPT 00162 code is part of the Anesthesia for Procedures on the Head services used for Anesthesia. 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 00162 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 00162. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00162 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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