CPT 00172 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 • 21 - Inpatient Hospital |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • P2 - A patient with mild systemic disease |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00172 |
National average anesthesia conversion factor for CPT 00172 by major payers:
$57.80
$55.74
$56.80
$54.58
| 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 00172 | ||||||
United | 00172 | $65.00 | 1972766129 - VESNA TEMELKOVSKA | 472040579 | CA | Anesthesiology Physician (207L00000X) |
United | 00172 | $39.00 | 1194875229 - DAVID GLENN | 820761299 - (CA) ANESTHESIOLOGIST COLLECTIVE OF NORTHERN CALIFORNIA | CA | Anesthesiology Physician (207L00000X) |
United | 00172 | $81.44 | 1013992726 - THOMAS ENGEL | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 00172 | $60.00 | 1174924633 - VIVIANA RUIZ BARROS | 680334324 | CA | Anesthesiology Physician (207L00000X) |
United | 00172 | $113.00 | 1093376469 - ALEXANDER BETZ | 941156581 - SUTTER BAY MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00172 | $38.00 | 1205871142 - MARC D. WOLFSOHN MD INC | 953580729 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00172 | $99.00 | 1518224518 - SOBAN UMAR | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00172 | $70.00 | 1609166719 - MICHAEL LENNIG | 260089066 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00172 | $121.22 | 1922023233 - JOHNATHAN PREGLER | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00172 | $38.00 | 1700999638 - REUBEN VALLES | 475167236 - (CA) REGIONAL ANESTHESIA ASSOCIATES INC | CA | Anesthesiology Physician (207L00000X) |
United | 00172 | $61.00 | 1942336615 - AMY LU | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00172 | $55.50 | 1336282474 - BRIAN MACK | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 00172 | $67.09 | 1356355499 - KEN ZUCKERMAN | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 00172 | $35.00 | 1215078647 - JASON POPE | 952627981 - (CA) MENDOCINO COAST HEALTH CARE DISTRICT | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00172 | $61.00 | 1730742289 - RICHARD THOMPSON | 943281663 | 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 00172 vs. Other Anesthesia for Procedures on the Head Codes
The CPT 00172 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 00172 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 00172. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00172 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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