CPT 00470 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 | • 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 00470 |
National average anesthesia conversion factor for CPT 00470 by major payers:
$57.93
$55.77
$56.89
$54.58
| 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 00470 | ||||||
United | 00470 | $54.00 | 1144277914 - MICHAEL YANAKAKIS | 943158784 - (CA) ANESTHESIA CARE ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00470 | $70.00 | 1285669226 - ANITA HONKANEN | 260089066 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00470 | $99.00 | 1891290813 - LAUREN SARTOR | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00470 | $55.00 | 1871520916 - MARK SCHWARTZ | 237064656 - HEALING THE SOUL | CA | Anesthesiology Physician (207L00000X) |
United | 00470 | $62.50 | 1881626356 - RICHARD ZUPP | 770134807 - (CA) ANESTHESIA CONSULTANTS OF FRESNO | CA | Anesthesiology Physician (207L00000X) |
United | 00470 | $57.50 | 1508871971 - SUHA MURAD | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00470 | $50.00 | 1245265487 - DAVID GOFF | 830339515 - (CA) YVONNE GOFF, MD | CA | Anesthesiology Physician (207L00000X) |
United | 00470 | $55.00 | 1386900157 - RON BARAK | 237064656 - HEALING THE SOUL | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00470 | $50.00 | 1477895803 - RISHI KOTHARI | 232809585 - JEFFERSON UNIVERSITY PHYSICIANS | CA | Anesthesiology Physician (207L00000X) |
United | 00470 | $70.00 | 1871980136 - KIAVOUSH NEMATI | 930579722 - SALEM HEALTH | CA | Anesthesiology Physician (207L00000X) |
United | 00470 | $65.00 | 1811042047 - RADHAMANGALAM RAMAMURTHI | 770465765 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00470 | $55.50 | 1801980172 - SHERMEEN VAKHARIA | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 00470 | $60.00 | 1649583360 - HNIN HTUN | 680334324 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00470 | $82.00 | 1972573418 - ALLISON CHRISTIE | 390813416 - GUNDERSEN LUTHERAN MEDICAL CENTER INC | CA | Anesthesiology Physician (207L00000X) |
United | 00470 | $75.84 | 1972716470 - NATHAN BRAKKE | 590634433 - THE NEMOURS FOUNDATION | CA | Pediatric Anesthesiology Physician (207LP3000X) |
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 00470 vs. Other Anesthesia for Procedures on the Thorax (Chest Wall and Shoulder Girdle) Codes
The CPT 00470 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 00470 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 00470. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00470 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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