CPT 00320 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 Neck Anesthesia |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None AA - Anesthesia by anesthesiologist QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00320 |
National average anesthesia conversion factor for CPT 00320 by major payers:
$57.75
$104.14
$56.29
$54.17
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 00320 | $67.09 | 1902112444 - LAWRENCE LONG | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 00320 | $99.00 | 1063857563 - JANE MOON | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00320 | $99.00 | 1104067248 - EMILY METHANGKOOL | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00320 | $56.00 | 1457419046 - ADAM WONG | 10920538 - (CA) ADAM WONG, MD, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00320 | $86.00 | 1780180703 - BRANNON ALTENHOFEN | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00320 | $60.00 | 1790761344 - HONG LIU | 680334324 | CA | Anesthesiology Physician (207L00000X) |
United | 00320 | $117.22 | 1861784126 - KYLE PAREDES | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 00320 | $80.00 | 1861620908 - JOSEPH JOHNSON | 410797853 - GROUP HEALTH PLAN INC | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00320 | $46.00 | 1922032283 - SANDEEP KHANNA | 941754129 - (CA) PEDIATRIC ANESTHESIA ASSOCIATES MEDICAL GROUP, INC. | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00320 | $86.00 | 1689105587 - LIBING WANG | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00320 | $67.09 | 1841796018 - THIEN LE | 943281660 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00320 | $70.00 | 1235159294 - DANIEL NELSON | 720276883 | CA | Anesthesiology Physician (207L00000X) |
United | 00320 | $82.00 | 1730100330 - UDAYA DESILVA | 273597066 - FIRST CHOICE PHYSICIAN PARTNERS | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00320 | $78.00 | 1275557100 - MANUEL WEISKOPF | 954656412 - (CA) PACIFIC VALLEY MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00320 | $52.00 | 1013448653 - JASON COHEN | 562392842 - ALEXANDER P. HERSEL, M.D., INC. | 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 00320 vs. Other Anesthesia Codes
The CPT 00320 code is part of the Anesthesia for Procedures on the Neck 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 00320 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 |
|---|---|---|
| 00100-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. |
| 00300-CPT | Moderate | Anes All Px Integ H/N/Ptrunk, Anesthesia For All Procedures On The Integumentary System Muscles And Nerves Of Head Neck And Posterior Trunk Not Otherwise Specified |
| 00320-CPT | Moderate | Anes All Px Neck Nos 1yr/>, Anesthesia For All Procedures On Esophagus Thyroid Larynx Trachea And Lymphatic System Of Neck; Not Otherwise Specified Age 1 Year Or Older |
| 00322-CPT | Low | Anesth Biopsy Of Thyroid, Anesthesia For All Procedures On Esophagus Thyroid Larynx Trachea And Lymphatic System Of Neck Needle Biopsy Of Thyroid |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00320. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00320 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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