CPT 00218 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 |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • P3 - A patient with severe systemic disease |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00218 |
National average anesthesia conversion factor for CPT 00218 by major payers:
$58.36
$55.62
$57.61
$55.74
| 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 00218 | ||||||
United | 00218 | $52.00 | 1578527651 - SUN OH | 463842055 - (CA) HP ANESTHESIA INC | CA | Anesthesiology Physician (207L00000X) |
United | 00218 | $61.00 | 1831675065 - DENISE CHANG | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00218 | $128.69 | 1255534129 - SARAH VANKOVA | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00218 | $61.00 | 1760166045 - MAXIME LEGER | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00218 | $47.70 | 1992863849 - CHAD PRITTS | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00218 | $57.00 | 1114123775 - NATHANIEL PONSTEIN | 941708041 - (CA) ANESTHESIOLOGISTS MEDICAL GROUP OF SAN FRANCISCO INC | CA | Anesthesiology Physician (207L00000X) |
United | 00218 | $80.00 | 1073859526 - DEREK LOWE | 871221902 - (CA) EL CAMINO ANESTHESIA | CA | Anesthesiology Physician (207L00000X) |
United | 00218 | $121.22 | 1184666802 - MAGGY RIAD | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00218 | $52.00 | 1295921229 - TERRIN MARTIN | 463842055 - (CA) HP ANESTHESIA INC | CA | Anesthesiology Physician (207L00000X) |
United | 00218 | $99.00 | 1972551356 - JOE HONG | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00218 | $121.22 | 1518158849 - NATALE NAIM | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00218 | $65.00 | 1235585886 - JUSTIN MOTTAGHI | 330500394 - (CA) CALIFORNIA ANESTHESIA ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00218 | $57.50 | 1487040945 - ANDREA POON | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00218 | $82.00 | 1629368261 - VIVEK DALAL | 264290978 - (CA) GREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC | CA | Anesthesiology Physician (207L00000X) |
United | 00218 | $91.75 | 1396766671 - JOHN LENART | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | 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 00218 vs. Other Anesthesia for Procedures on the Head Codes
The CPT 00218 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 00218 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 |
|---|---|---|
| 00162-CPT | Moderate | Anes Nose/Sinuses; Radical Surgery |
| 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) |
| 00218-CPT | Moderate | Anes Intracranial; Sitting Position Proc |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00218. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00218 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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