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See a sample rate comparisonCPT 00176 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 Surgery, Anesthesia Services For Major Surgery On The Inside Of The Mouth. Procedures May Include Tumor Removal Or Saliva Gland Surgery.
| Key Fact | Detail |
|---|---|
| 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 P3 - A patient with severe systemic disease QK - Medical direction of two, three or four concurrent anesthesia procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00176 |
National average anesthesia conversion factor for CPT 00176 by major payers:
$58.03
$55.76
$57.00
$54.74
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CPT 00176
5 of 25 sample ratesHigher to lower in this preview
Hamid Nourmand
$121.22Published rateKevin Blaine
Tuality Medical Group LLC
$71.00Published rateMichael Maloney
Metropolitan Anesthesiology Consultants Inc
$61.59Published rateClaudia Santosa
$53.00Published rateNelson Berkowitz
Eisenhower Medical Center
$25.00Published rate
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See a sample payer proposalCPT 00176 vs. Other Anesthesia for Procedures on the Head Codes
The CPT 00176 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 00176 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 00176. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00176 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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