CPT 00400 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 Thorax (Chest Wall and Shoulder Girdle) |
| 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 | Low |
National average anesthesia conversion factor for CPT 00400 by major payers:
$56.70
$104.02
$54.23
$18.17
| 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 00400 | ||||||
United | 00400 | $76.80 | 1124312145 - JAMES STEPHEN | 42312909 - MASS GENERAL BRIGHAM INCORPORATED | MA | Neurological Surgery Physician (207T00000X) |
United | 00400 | $65.00 | 1982676599 - KEITH DAVIES | 43296068 - (MA) BOSTON UNIVERSITY NEUROSURGICAL ASSOCIATES INC | MA | Neurological Surgery Physician (207T00000X) |
United | 00400 | $65.00 | 1063603181 - KRISTOPHER KAHLE | 272777455 | MA | Neurological Surgery Physician (207T00000X) |
United | 00400 | $49.43 | 1003251554 - JOEL PASSER | 42704683 - (MA) LAHEY CLINIC INC | MA | Neurological Surgery Physician (207T00000X) |
United | 00400 | $76.80 | 1053354852 - EKKEHARD KASPER | 43466314 - MASS GENERAL BRIGHAM INCORPORATED | MA | Neurological Surgery Physician (207T00000X) |
United | 00400 | $76.80 | 1598932154 - YI LU | 43466314 - MASS GENERAL BRIGHAM INCORPORATED | MA | Neurological Surgery Physician (207T00000X) |
United | 00400 | $52.00 | 1487745196 - HERBERT LEE | 814508747 - (NJ) OAK TREE ANESTHESIA ASSOCIATES LLC | NJ | Anesthesiology Physician (207L00000X) |
United | 00400 | $42.00 | 1053354852 - EKKEHARD KASPER | 42263040 - (MA) DANA-FARBER CANCER INSTITUTE | MA | Neurological Surgery Physician (207T00000X) |
United | 00400 | $65.00 | 1346602406 - JUSTIN MOORE | 43296068 - (MA) BOSTON UNIVERSITY NEUROSURGICAL ASSOCIATES INC | MA | Neurological Surgery Physician (207T00000X) |
United | 00400 | $63.00 | 1619289428 - MATTHEW VESTAL | 862109896 - DUKE HEALTH INTEGRATED PRACTICE INC | MA | Neurological Surgery Physician (207T00000X) |
United | 00400 | $42.00 | 1508095019 - LISSA BAIRD | 42263040 - (MA) DANA-FARBER CANCER INSTITUTE | MA | Neurological Surgery Physician (207T00000X) |
United | 00400 | $59.00 | 1972602431 - CARLOS DAVID | 561732213 | MA | Neurological Surgery Physician (207T00000X) |
United | 00400 | $76.80 | 1184686057 - BOB CARTER | 271585213 | MA | Neurological Surgery Physician (207T00000X) |
United | 00400 | $42.00 | 1649473000 - JOHN CHI | 42263040 - (MA) DANA-FARBER CANCER INSTITUTE | MA | Neurological Surgery Physician (207T00000X) |
United | 00400 | $76.50 | 1285825604 - MOHAMAD ABDELAZEEZ KHALED | 60646668 - HARTFORD HOSPITAL | 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 00400 vs. Other Anesthesia for Procedures on the Thorax (Chest Wall and Shoulder Girdle) Codes
The CPT 00400 code is part of the Anesthesia services used for Anesthesia for Procedures on the Thorax (Chest Wall and Shoulder Girdle). 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 00400 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 |
|---|---|---|
| 00190-CPT | Moderate | Anes Facial Bones; Nos |
| 00320-CPT | Moderate | Anesthesia For All Procedures On Esophagus, Thyroid, Larynx, Trachea And Lymphatic System Of Neck; Not Otherwise Specified, Age 1 Year Or Older |
| 00400-CPT | Low | Anesthesia For Procedures On The Integumentary System On The Extremities, Anterior Trunk And Perineum; Not Otherwise Specified |
| 00402-CPT | Moderate | Anesthesia For Procedures On The Integumentary System On The Extremities, Anterior Trunk And Perineum; Reconstructive Procedures On Breast (Eg, Reduction Or Augmentation Mammoplasty, Muscle Flaps) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00400. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00400 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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