CPT 00220 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 • P3 - A patient with severe systemic disease • AA - Anesthesia by anesthesiologist |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 00220 by major payers:
$58.17
$55.88
$57.04
$55.24
| 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 00220 | ||||||
United | 00220 | $67.09 | 1497536890 - ARUN MENON | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 00220 | $81.44 | 1104849223 - RICHARD HALL | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 00220 | $58.00 | 1174830608 - RAHUL MODI | 770376721 - (CA) CYPRESS COAST ANESTHESIA MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 00220 | $53.00 | 1467438036 - ANDREW HESSELTINE | 272767291 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00220 | $99.00 | 1346413663 - MEGAN THOMAS | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00220 | $81.44 | 1467515536 - SHANNON MULDER MICHAELSON | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 00220 | $121.22 | 1851824569 - NEIL SHAW | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00220 | $71.19 | 1497851919 - WALTER CHANG | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00220 | $128.69 | 1730708314 - SHUNELLA LUMAS | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00220 | $121.22 | 1831120070 - PEREGRINA ARCIAGA | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00220 | $25.00 | 1760410625 - RICHARD SHINAMAN | 562605608 - BAY AREA SURGICAL SPECIALISTS, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00220 | $38.00 | 1235199373 - RONALD BOTELHO | 942847137 - (CA) LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00220 | $63.00 | 1043525504 - CARLOS GARCIA | 330359522 | CA | Anesthesiology Physician (207L00000X) |
United | 00220 | $65.00 | 1295904787 - THOMAS ANDERSON | 770465765 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00220 | $61.00 | 1366296071 - ALEXANDER GOSWELL | 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 00220 vs. Other Anesthesia for Procedures on the Head Codes
The CPT 00220 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 00220 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 00220. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00220 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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