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CPT 00162 Fee Schedule

Last Verified: January 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.

Anes Nose/Sinuses; Radical Surgery
Key FactDetail
Service Type

Anesthesia

Anesthesia for Procedures on the Head

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 LevelModerate
Medicare Fee ScheduleView Medicare rates for 00162

National average anesthesia conversion factor for CPT 00162 by major payers:

bcbs

$57.99

uhc

$55.80

aetna

$57.05

cigna

$54.74

Preview provider-level rates for...
For billing codeCPT 00162
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 00162

United
00162$38.001205036423 - MARK POBLETE208633770 - (CA) RAZI D HEKMAT MD INCCAAnesthesiology Physician (207L00000X)
United
00162$91.751932764503 - DYLAN RIVERA330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSMCAAnesthesiology Physician (207L00000X)
United
00162$35.001598763682 - CHIHJEN LEE954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATIONCAAnesthesiology Physician (207L00000X)
United
00162$121.221144425711 - ANAHAT DHILLON954377219CAAnesthesiology Physician (207L00000X)
United
00162$50.001053598060 - JOSHUA BONDURANT330185031 - (CA) PROVIDENCE MEDICAL FOUNDATIONCAAnesthesiology Physician (207L00000X)
United
00162$67.091184183212 - JONATHAN VILLANUEVA943281660CAAnesthesiology Physician (207L00000X)
United
00162$56.001629680665 - ANDY LE MD INC270168936 - (CA) ANDY LE MD INCCAAnesthesiology Physician (207L00000X)
United
00162$55.001669491403 - ALBERT LEUNG237064656 - HEALING THE SOULCAPain Medicine (Anesthesiology) Physician (207LP2900X)
United
00162$41.001487604419 - HOA PHAM770500726 - (CA) COMMUNITY ANESTHESIA PROVIDERS MEDICAL GROUP, INC.CAAnesthesiology Physician (207L00000X)
United
00162$121.221619164084 - KIMBERLY HOWARD-QUIJANO954395492CAAnesthesiology Physician (207L00000X)
United
00162$52.501023338696 - REBECCA MARGOLIS953777340 - CHILDRENS HOSPITAL LOS ANGELES MEDICAL GROUP INCCAPediatric Anesthesiology Physician (207LP3000X)
United
00162$99.001780115535 - ALBERT LEE954395492CAAnesthesiology Physician (207L00000X)
United
00162$91.751831519719 - MOHAMMAD HASSANIAN330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSMCAAnesthesiology Physician (207L00000X)
United
00162$71.191265499065 - RUSSELL GRAY274803222 - CITY OF HOPE MEDICAL FOUNDATIONCAAnesthesiology Physician (207L00000X)
United
00162$58.001831369594 - EAST BAY OPHTHALMIC ANESTHESIA INC800154758 - (CA) EAST BAY OPHTHALMIC ANESTHESIA INCCAAnesthesiology Physician (207L00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 00162 vs. Other Anesthesia for Procedures on the Head Codes

The CPT 00162 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 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.

CodeComplexityDescription
00160-CPTModerateAnesthesia For Procedures On Nose And Accessory Sinuses; Not Otherwise Specified
00162-CPTModerateAnes Nose/Sinuses; Radical Surgery
00164-CPTLowAnes Nose/Sinuses; Biopsy Soft Tissue
00170-CPTModerateAnes Intraoral W/Biopsy; Nos

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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