CPT 00164 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 | • 22 - On Campus Outpatient Hospital • 24 - Ambulatory Surgical Center |
| Common Modifiers | • None • QZ - CRNA service; without medical direction by a physician • AA - Anesthesia by anesthesiologist |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 00164 |
National average anesthesia conversion factor for CPT 00164 by major payers:
$55.60
$55.58
$57.00
$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 00164 | ||||||
United | 00164 | $38.00 | 1154681534 - JASON DAUGHETY | 872104500 - (CA) ASHEH DAUGHETY MEDICAL CORPORATION | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00164 | $117.22 | 1942436324 - ROBIN KIM | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 00164 | $55.50 | 1154583508 - ANDREW MAEDA | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 00164 | $60.00 | 1841455235 - RAJEEV WADIA | 680334324 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00164 | $45.00 | 1629018189 - YO-HANG ONG | 273068347 | CA | Anesthesiology Physician (207L00000X) |
United | 00164 | $41.00 | 1558312405 - SENEN UYAN | 770500726 - (CA) COMMUNITY ANESTHESIA PROVIDERS MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00164 | $128.69 | 1902112444 - LAWRENCE LONG | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00164 | $61.00 | 1982991915 - LINDSEY HUDDLESTON | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00164 | $52.00 | 1730121369 - BARBARA GASIOR | 463842055 - (CA) HP ANESTHESIA INC | CA | Anesthesiology Physician (207L00000X) |
United | 00164 | $60.00 | 1730391020 - MICHELLE HOANGQUOCGIA | 680334324 | CA | Anesthesiology Physician (207L00000X) |
United | 00164 | $55.00 | 1932510047 - TODD KRAMER | 880817607 - (CA) EXCELLE ANESTHESIA SERVICES INC | CA | Anesthesiology Physician (207L00000X) |
United | 00164 | $70.00 | 1134269145 - JULIE GOOD | 260089066 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00164 | $82.00 | 1629368261 - VIVEK DALAL | 273597066 - FIRST CHOICE PHYSICIAN PARTNERS | CA | Anesthesiology Physician (207L00000X) |
United | 00164 | $65.00 | 1205167798 - VIDYA RAO | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 00164 | $85.00 | 1598027005 - SOROSCH DIDEHVAR | 223146927 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
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 00164 vs. Other Anesthesia for Procedures on the Head Codes
The CPT 00164 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 00164 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00164. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00164 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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