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See a sample rate comparisonCPT 00454 Fee Schedule
Last Verified: October 2026
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.
Anesthesia For Neck Or Back, Anesthesia Services For Procedures Involving The Collarbone Or The Shoulder Blade Including Taking A Sample For Testing (Biopsy).
| 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 19 - Off Campus Outpatient Hospital |
| Common Modifiers | QS - Monitored anesthesia care service QX - Qualified nonphysician anesthetist service: With medical direction by a physician QK - Medical direction of two, three or four concurrent anesthesia procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 00454 |
National average anesthesia conversion factor for CPT 00454 by major payers:
$55.39
$55.62
$56.13
$18.17
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CPT 00454
5 of 25 sample ratesHigher to lower in this preview
Linda Mason
Faculty Physicians And Surgeons Of Llusm
$135.50Published rateJacques Neelankavil
$86.00Published rateNirvana Kundu
First Choice Anesthesia Consultants Nirvana Kundu Md PC
$60.00Published rateMark Mulder
North County Anesthesia Medical Group
$53.00Published rateAlejandro Sloninsky
Cedars-Sinai Medical Care Foundation
$35.00Published rate
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See a sample payer proposalCPT 00454 vs. Other Anesthesia for Procedures on the Thorax (Chest Wall and Shoulder Girdle) Codes
The CPT 00454 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 00454 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 |
|---|---|---|
| 00450-CPT | Moderate | Anesthesia For Neck Or Back, Anesthesia Services For Procedures Involving The Collarbone Or The Shoulder Blade Including Taking A Sample For Testing (Biopsy). |
| 00454-CPT | Low | Anesthesia For Neck Or Back, Anesthesia Services For Procedures Involving The Collarbone Or The Shoulder Blade Including Taking A Sample For Testing (Biopsy). |
| 00472-CPT | Moderate | Anesthesia For Rib Surgery, Anesthesia Services For Surgery To Remove Part Of A Rib Or To Reconstruct Part Of The Rib Cage. |
| 00474-CPT | Moderate | Anesthe For Partial Rib Resct; Radical Procs (Eg Pectus E, Anesthesia For Partial Rib Resection; Radical Procedures (Eg Pectus E |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00454. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00454 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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