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See a sample rate comparisonCPT 00472 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 Rib Surgery, Anesthesia Services For Surgery To Remove Part Of A Rib Or To Reconstruct Part Of The Rib Cage.
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Thorax (Chest Wall and Shoulder Girdle) |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None AA - Anesthesia by anesthesiologist P3 - A patient with severe systemic disease |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00472 |
National average anesthesia conversion factor for CPT 00472 by major payers:
$56.56
$55.83
$57.33
$55.25
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CPT 00472
5 of 25 sample ratesHigher to lower in this preview
Errol Lobo
$128.69Published rateKristel Jan Magsino
Faculty Physicians And Surgeons Of Llusm
$91.75Published rateMonique Cadogan
$65.00Published rateStaci Becker
$55.50Published rateEdwin Mirzabeigi
Southern California Vascular Institute Inc
$34.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 00472 vs. Other Anesthesia for Procedures on the Thorax (Chest Wall and Shoulder Girdle) Codes
The CPT 00472 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 00472 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 |
|---|---|---|
| 00410-CPT | Low | Anesth Correct Heart Rhythm, Anesthesia For Procedures On The Integumentary System On The Extremities Anterior Trunk And Perineum Electrical Conversion Of Arrhythmias |
| 00470-CPT | Moderate | Anesthesia For Rib Surgery, Anesthesia Services For Surgery To Remove Part Of A Rib Or To Reconstruct Part Of The Rib Cage. |
| 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 00472. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00472 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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