CPT 00520 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 Intrathoracic Procedures |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • P3 - A patient with severe systemic disease • QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00520 |
National average anesthesia conversion factor for CPT 00520 by major payers:
$57.69
$55.85
$56.51
$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 00520 | ||||||
United | 00520 | $58.52 | 1497118871 - ELIZABETH HONG | 952282647 - (CA) WHITE MEMORIAL MEDICAL CENTER | CA | Anesthesiology Physician (207L00000X) |
United | 00520 | $45.00 | 1619095247 - BRIAN GWARTZ | 272591091 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00520 | $70.00 | 1144546284 - BRENT BARKER | 840405257 - CATHOLIC HEALTH INITIATIVES COLORADO | CA | Anesthesiology Physician (207L00000X) |
United | 00520 | $69.00 | 1578604328 - TRUNG VU | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00520 | $93.01 | 1851317564 - PETER NOSE | 834708723 - (CA) G2 ANESTHESIA, PC | CA | Anesthesiology Physician (207L00000X) |
United | 00520 | $54.00 | 1619933371 - MARK ESCAJEDA | 943192738 - (CA) CHILDRENS ANESTHESIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00520 | $52.00 | 1972529162 - SUNSHINE ANESTHESIA A MEDICAL CORPORATION | 943142729 - (CA) SUNSHINE ANESTHESIA CORPORATION | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00520 | $55.00 | 1487073441 - SARAH ELLIS | 237064656 - HEALING THE SOUL | CA | Anesthesiology Physician (207L00000X) |
United | 00520 | $65.00 | 1952559247 - FANNY FISHFADER | 1952559247 - (CA) FANNY FISHFADER | CA | Anesthesiology Physician (207L00000X) |
United | 00520 | $65.00 | 1962477034 - ALEXANDER SELIVERSTOV | 200602258 | CA | Anesthesiology Physician (207L00000X) |
United | 00520 | $117.22 | 1447662689 - EVAN SLEIPNESS | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 00520 | $60.00 | 1508326703 - RITIKA JOHAL | 680334324 | CA | Anesthesiology Physician (207L00000X) |
United | 00520 | $55.00 | 1952585895 - NAVEEN MEHRA | 741586031 | CA | Anesthesiology Physician (207L00000X) |
United | 00520 | $38.00 | 1386016087 - DESERT CITIES ANESTHESIA PROFESSIONALS | 474473879 - (CA) DESERT CITIES ANESTHESIA PROFESSIONALS | CA | Anesthesiology Physician (207L00000X) |
United | 00520 | $99.00 | 1699302091 - CHRISTOPHER LEE | 954377219 | CA | Anesthesiology Physician (207L00000X) |
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 00520 vs. Other Anesthesia for Intrathoracic Procedures Codes
The CPT 00520 code is part of the Anesthesia services used for Anesthesia for Intrathoracic Procedures. 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 00520 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 |
|---|---|---|
| 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) |
| 00410-CPT | Low | Anesthesia For Procedures On The Integumentary System On The Extremities, Anterior Trunk And Perineum; Electrical Conversion Of Arrhythmias |
| 00520-CPT | Moderate | Anesthesia For Closed Chest Procedures(Including Esophag- Oscopy,Bronchoscopy,Thoracos- Copy); Not Otherwise Specified |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00520. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00520 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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