CPT 00215 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 | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital • 24 - Ambulatory Surgical Center |
| Common Modifiers | • None • P3 - A patient with severe systemic disease • AA - Anesthesia by anesthesiologist |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 00215 by major payers:
$58.08
$55.85
$57.14
$55.08
| 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 00215 | ||||||
United | 00215 | $38.00 | 1235170556 - MIGUEL DOMINGUEZ | 330701953 - (CA) MIGUEL A. DOMINGUEZ, M.D., P.C. | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00215 | $38.00 | 1295775237 - WILLIAM HALSEY | 932807351 - (CA) BROOKWOOD ANESTHESIA INC | CA | Anesthesiology Physician (207L00000X) |
United | 00215 | $61.00 | 1548525611 - MATTHEW DUDLEY | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00215 | $54.00 | 1922071539 - JENNIFER REODICA | 202936136 - (CA) BLUE EAGLE ANESTHESIA INC A PROFESSIONAL CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 00215 | $135.50 | 1528089075 - RICHARD APPLEGATE | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 00215 | $60.00 | 1396761342 - HANY BASTA | 811684142 | CA | Anesthesiology Physician (207L00000X) |
United | 00215 | $128.69 | 1851307631 - LUDWIG LIN | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00215 | $52.50 | 1376741918 - CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC. | 953777340 - CHILDRENS HOSPITAL LOS ANGELES MEDICAL GROUP INC | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00215 | $91.75 | 1699882894 - NITIN SHAH | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00215 | $73.75 | 1679798185 - CYNTHIA YUAN | 352120414 - (IN) ANESTHESIA CONSULTANTS OF INDIANAPOLIS, LLC | CA | Anesthesiology Physician (207L00000X) |
United | 00215 | $48.00 | 1457325029 - AHAMED RAZA | 910568304 - (WA) GRAYS HARBOR COMMUNITY HOSPITAL | CA | Anesthesiology Physician (207L00000X) |
United | 00215 | $84.66 | 1194980599 - EDWARD SHERER | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00215 | $86.00 | 1275028854 - NIGEL WILKINSON-MAITLAND | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00215 | $81.44 | 1396063707 - HUAYONG HU | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00215 | $128.69 | 1235472648 - MARC BUREN | 943281657 | 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 00215 vs. Other Anesthesia for Procedures on the Head Codes
The CPT 00215 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 00215 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 | Craniotomy Or Craniectomy For Evacuation Of Hematoma |
| 00214-CPT | Moderate | Anes Intracranial; Burr Holes |
| 00215-CPT | Moderate | Anesthesia For Intracranial Procedures; Cranioplasty Or Elevation Of Depressed Skull Fracture, Extradural (Simple Or Compound) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00215. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00215 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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