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See a sample rate comparisonCPT 00522 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 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).
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Intrathoracic Procedures |
| 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
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CPT 00522
5 of 25 sample ratesHigher to lower in this preview
Anahat Dhillon
$121.22Published rateKevin Brady
Community Memorial Hospital Association
$75.00Published rateShunella Lumas
$61.00Published rateNatalie Lee
$52.00Published rateChristopher Cantilena
Eisenhower Medical Center
$25.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 00522 vs. Other Anesthesia for Intrathoracic Procedures Codes
The CPT 00522 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 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. |
| 00500-CPT | Moderate | Anes Esophagus All Procedures |
| 00520-CPT | Moderate | Anesthesia For Chest Procedure, Anesthesia Services For A Procedure Involving The Interior Of The Chest. Examples Include Withdrawing Fluid And Scope-Assisted Exams. |
| 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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