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See a sample rate comparisonCPT 00170 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.
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.
| 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 11 - Office |
| 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 00170 |
| Medicaid Fee Schedule | View Medicaid rates for 00170 |
National average anesthesia conversion factor for CPT 00170 by major payers:
$46.17
$54.10
$56.05
$55.33
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CPT 00170
5 of 25 sample ratesHigher to lower in this preview
Aparna Dalal
North Shore-Lij Anesthesiology PC
$147.14Published rateCynthia Antin
$99.00Published rateGarry Dieter
$63.50Published ratePatricia Pardo
Healing The Soul
$55.00Published rateJason Lee
$45.00Published rate
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See a sample payer proposalCPT 00170 vs. Other Anesthesia for Procedures on the Head Codes
The CPT 00170 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 00170 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 |
|---|---|---|
| 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. |
| 00172-CPT | Moderate | Anesthesia For Mouth Repair, Anesthesia Services For Surgery To Repair An Opening Or Groove In A Lip Or The Roof Of The Mouth. The Procedure Can Include Removing A Sample Of Tissue For Testing (Biopsy). |
| 00174-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. |
| 00176-CPT | Moderate | Anesthesia For Mouth Surgery, Anesthesia Services For Major Surgery On The Inside Of The Mouth. Procedures May Include Tumor Removal Or 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 00170. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00170 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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