CPT 00410 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 |
| Common Modifiers | • QS - Monitored anesthesia care service • None • QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Low |
National average anesthesia conversion factor for CPT 00410 by major payers:
$57.12
$55.77
$56.21
$54.24
| 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 00410 | ||||||
United | 00410 | $40.00 | 1952500191 - STEFAN KIM | 411765832 - HEALTHEAST MEDICAL RESEARCH INSTITUTE | MA | Neurological Surgery Physician (207T00000X) |
United | 00410 | $89.00 | 1003252362 - SCELLIG STONE | 42774441 - CHILDRENS HOSPITAL CORPORATION | MA | Neurological Surgery Physician (207T00000X) |
United | 00410 | $94.50 | 1992143812 - DAVID PENN | 61137531 - NUVANCE HEALTH MEDICAL PRACTICE CT INC | MA | Neurological Surgery Physician (207T00000X) |
United | 00410 | $88.25 | 1982837084 - PHILIPP TAUSSKY | 222768204 - HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC | MA | Neurological Surgery Physician (207T00000X) |
United | 00410 | $42.00 | 1508095019 - LISSA BAIRD | 42263040 - (MA) DANA-FARBER CANCER INSTITUTE | MA | Neurological Surgery Physician (207T00000X) |
United | 00410 | $88.25 | 1184243792 - GHUSN AL SIDEIRI | 42103881 - BETH ISRAEL DEACONESS MEDICAL CENTER INC | MA | Neurological Surgery Physician (207T00000X) |
United | 00410 | $88.25 | 1164424693 - CHIMA OHAEGBULAM | 202838785 - (MA) BOSTON SPORTS AND SHOULDER CENTER, LLC | MA | Neurological Surgery Physician (207T00000X) |
United | 00410 | $76.80 | 1386635837 - BROOKE SWEARINGEN | 1386635837 | MA | Neurological Surgery Physician (207T00000X) |
United | 00410 | $88.25 | 1306836853 - CHRISTOPHER OGILVY | 42103881 - BETH ISRAEL DEACONESS MEDICAL CENTER INC | MA | Neurological Surgery Physician (207T00000X) |
United | 00410 | $65.00 | 1457511909 - EMANUELA BINELLO | 272777455 | MA | Neurological Surgery Physician (207T00000X) |
United | 00410 | $76.80 | 1457404725 - ELIZABETH CLAUS | 43466314 - MASS GENERAL BRIGHAM INCORPORATED | MA | Neurological Surgery Physician (207T00000X) |
United | 00410 | $84.66 | 1033162235 - NATASHA MCKAY | 811807730 - (MA) RIVERBEND MEDICAL GROUP INC | MA | Neurological Surgery Physician (207T00000X) |
United | 00410 | $76.80 | 1659420982 - JEFFREY SCHWEITZER | 42697983 - MASS GENERAL BRIGHAM INCORPORATED | MA | Neurological Surgery Physician (207T00000X) |
United | 00410 | $88.25 | 1346602406 - JUSTIN MOORE | 222768204 - HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC | MA | Neurological Surgery Physician (207T00000X) |
United | 00410 | $76.80 | 1003050642 - WENYA BI | 42312909 - MASS GENERAL BRIGHAM INCORPORATED | 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 00410 vs. Other Anesthesia for Procedures on the Thorax (Chest Wall and Shoulder Girdle) Codes
The CPT 00410 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 00410 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 |
|---|---|---|
| 00104-CPT | Low | Anes Electroconvulsive Therapy |
| 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 |
| 00410-CPT | Low | Anesthesia For Procedures On The Integumentary System On The Extremities, Anterior Trunk And Perineum; Electrical Conversion Of Arrhythmias |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00410. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00410 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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