CPT 00212 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 for Procedures on the Head Anesthesia |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | AA - Anesthesia by anesthesiologist P3 - A patient with severe systemic disease None |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 00212 |
National average anesthesia conversion factor for CPT 00212 by major payers:
$48.87
$54.09
$57.01
$55.34
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 00212 | $52.00 | 1245587757 - BENJAMIN RAPOPORT | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | MA | Neurological Surgery Physician (207T00000X) |
United | 00212 | $42.00 | 1154532992 - TRACY ANSAY | 42263040 - (MA) DANA-FARBER CANCER INSTITUTE | MA | Neurological Surgery Physician (207T00000X) |
United | 00212 | $90.00 | 1255478004 - CHRISTOPHER RAIO | 208243412 - SAMARITAN EMERGENCY MEDICAL SERVICES PC | NY | Emergency Medicine Physician (207P00000X) |
United | 00212 | $22.74 | 1255478004 - CHRISTOPHER RAIO | 111635088 - MERCY MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 00212 | $65.00 | 1013155688 - HORMUZDIYAR DASENBROCK | 272777455 | MA | Neurological Surgery Physician (207T00000X) |
United | 00212 | $49.43 | 1003251554 - JOEL PASSER | 42704683 - (MA) LAHEY CLINIC INC | MA | Neurological Surgery Physician (207T00000X) |
United | 00212 | $60.00 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 00212 | $42.00 | 1053354852 - EKKEHARD KASPER | 42263040 - (MA) DANA-FARBER CANCER INSTITUTE | MA | Neurological Surgery Physician (207T00000X) |
United | 00212 | $10.00 | 1255478004 - CHRISTOPHER RAIO | 112050523 - ST FRANCIS HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 00212 | $47.75 | 1962440909 - HERBERT CARES | 42581165 - (MA) SURGICAL NEUROLOGY INC | MA | Neurological Surgery Physician (207T00000X) |
United | 00212 | $74.36 | 1285825604 - MOHAMAD ABDELAZEEZ KHALED | 60646668 - HARTFORD HOSPITAL | MA | Neurological Surgery Physician (207T00000X) |
United | 00212 | $62.88 | 1447460985 - PETER AMENTA | 42911067 - UMASS MEMORIAL HEALTH CARE INC | MA | Neurological Surgery Physician (207T00000X) |
United | 00212 | $85.00 | 1811000177 - CHARLESTON RADIOLOGISTS PA | 570634747 - CHARLESTON RADIOLOGISTS, P.A. | SC | Single Specialty Group (193400000X) |
United | 00212 | $76.80 | 1790124691 - MICHAEL MOONEY | 43466314 - MASS GENERAL BRIGHAM INCORPORATED | MA | Neurological Surgery Physician (207T00000X) |
United | 00212 | $40.00 | 1538517164 - JUSTIN CAPPUZZO | 200062134 - (NC) ATLANTIC NEUROSURGICAL & SPINE SPECIALISTS, PA | MA | Neurological Surgery Physician (207T00000X) |
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 00212 vs. Other Anesthesia Codes
The CPT 00212 code is part of the Anesthesia for Procedures on the Head services used for Anesthesia. 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 00212 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 |
|---|---|---|
| 00210-CPT | Moderate | Anes Intracranial; Nos |
| 00211-CPT | Moderate | Anesthesia For Skull Procedure, Anesthesia Services To Support Surgery That Creates An Opening In The Skull Or That Removes A Portion Of The Skull. The Surgery Is Done To Remove Blood That Has Collected Inside The Skull. |
| 00212-CPT | Low | Anesthesia For Brain Surgery, Anesthesia Services For Surgery Involving The Brain Surrounding Skull Cerebrospinal Fluid Cranial Nerves Or The Protective Sac Around The Brain. |
| 00214-CPT | Moderate | Anesthesia For Skull Procedure, Anesthesia Services For Surgery Involving The Brain Surrounding Skull Cerebrospinal Fluid Cranial Nerves Or The Protective Sac Around The Brain. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00212. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00212 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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