CPT 00522 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 for Intrathoracic Procedures Anesthesia |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | P3 - A patient with severe systemic disease AA - Anesthesia by anesthesiologist QS - Monitored anesthesia care service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 00522 |
National average anesthesia conversion factor for CPT 00522 by major payers:
$48.65
$54.09
$56.99
$55.37
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 00522 | $60.00 | 1033679469 - PEJMAN MAJD | 680334324 | CA | Anesthesiology Physician (207L00000X) |
United | 00522 | $55.00 | 1518594910 - CAITLIN KROL | 237064656 - HEALING THE SOUL | CA | Anesthesiology Physician (207L00000X) |
United | 00522 | $52.00 | 1437165503 - NATALIE LEE | 271876899 | CA | Anesthesiology Physician (207L00000X) |
United | 00522 | $57.50 | 1013448653 - JASON COHEN | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00522 | $65.00 | 1033476486 - AMIT JOSEPH | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 00522 | $30.00 | 1306598164 - MURAD ARIF MD, INC., TEMECULA PAIN MANAGEMENT | 851237266 - (CA) MURAD ARIF MD INC | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00522 | $44.00 | 1285688689 - WILLIAM SCIBETTA | 208106540 - DISTRICT MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 00522 | $55.50 | 1255726881 - SAMUEL HONG | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 00522 | $91.75 | 1174186118 - MATTHEW HOLSCLAW | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 00522 | $75.00 | 1528002045 - KEVIN BRADY | 410743546 - COMMUNITY MEMORIAL HOSPITAL ASSOCIATION | CA | Anesthesiology Physician (207L00000X) |
United | 00522 | $25.00 | 1750301776 - CHRISTOPHER CANTILENA | 956130458 - EISENHOWER MEDICAL CENTER | CA | Anesthesiology Physician (207L00000X) |
United | 00522 | $65.00 | 1104842640 - MYUNG KIM | 770414846 - (CA) MODESTO ANESTHESIA MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00522 | $85.00 | 1780872192 - ZEEST KHAN | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CA | Anesthesiology Physician (207L00000X) |
United | 00522 | $121.22 | 1144425711 - ANAHAT DHILLON | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00522 | $69.62 | 1316046378 - SHERIF KANDIL | 954540991 - USC CARE MEDICAL GROUP INC | 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 00522 vs. Other Anesthesia Codes
The CPT 00522 code is part of the Anesthesia for Intrathoracic Procedures services used for Anesthesia. 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 00522 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 |
|---|---|---|
| 00406-CPT | Moderate | Anesthesia For Breast Surgery, Anesthesia Services For Surgery To Remove Abnormal Tissue From A Breast Or To Remove All Or Part Of A Breast. Procedures May Involve The Interior Structure Of A Breast As Well As Nearby Tissues. |
| 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 |
| 00522-CPT | Low | Anesthesia Lung Sac Biopsy, Anesthesia Services For A Surgery Of The Protective Sac Around The Lungs (Pleura). This Procedure Uses A Needle To Remove A Small Sample Of Tissue For Testing (Biopsy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00522. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00522 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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