CPT 00529 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 | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • P3 - A patient with severe systemic disease • AA - Anesthesia by anesthesiologist |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 00529 by major payers:
$59.39
$55.85
$57.34
$55.41
| 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 00529 | ||||||
United | 00529 | $128.69 | 1023495975 - JUSTIN GRUBBS | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00529 | $65.00 | 1831364322 - RAYMUNDO SALCEDO | 474880567 - (CA) WEST HILLS ANESTHESIA AND PERIOPERATIVE PHYSICIANS | CA | Anesthesiology Physician (207L00000X) |
United | 00529 | $121.22 | 1750589412 - JULIE TRAN | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00529 | $40.00 | 1356542823 - TAM OSHANTER MEDICAL GROUP INC | 953871343 - (CA) TAM OSHANTER MEDICAL GROUP INC | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00529 | $60.00 | 1679678502 - CINTHIA TIRADO | 680334324 | CA | Anesthesiology Physician (207L00000X) |
United | 00529 | $55.00 | 1811366644 - BRENTON ALEXANDER | 237064656 - HEALING THE SOUL | CA | Anesthesiology Physician (207L00000X) |
United | 00529 | $53.00 | 1912139320 - JUSTIN HAMRICK | 716046242 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00529 | $69.62 | 1073569307 - MARTIN BOHORQUEZ | 954540991 - USC CARE MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 00529 | $60.00 | 1316907330 - ROBERT KRISS | 680334324 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00529 | $121.22 | 1699829937 - ROBERT WHITTINGTON | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00529 | $80.00 | 1356910053 - EL CAMINO ANESTHESIA | 871221902 - (CA) EL CAMINO ANESTHESIA | CA | Anesthesiology Physician (207L00000X) |
United | 00529 | $55.50 | 1972893790 - NAVID ALEM | 954401759 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00529 | $128.69 | 1245434190 - DOMINIKA MOTAS | 943281657 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00529 | $80.00 | 1194767988 - WINNIE RUO | 363766603 - (IL) ELMHURST ANESTHESIOLOGISTS, P.C. | CA | Anesthesiology Physician (207L00000X) |
United | 00529 | $113.00 | 1851473268 - EDGAR CELIS | 831430046 - (CA) EDGAR CELIS, M.D., 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 00529 vs. Other Anesthesia for Intrathoracic Procedures Codes
The CPT 00529 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 00529 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 |
|---|---|---|
| 00524-CPT | Low | Anes Closed Chest; Pneumocentesis |
| 00528-CPT | Moderate | Snf,Nfor Icfmror Other Residential Facility - Visit Byrhc/Fqhcpractitioner To Other Non-Rhc/Fqhcsite (E.G., Scene Of Accident) |
| 00529-CPT | Moderate | Anesthesia For Closed Chest Procedures; Mediastinoscopy And Diagnostic Thoracoscopy Utilizing One Lung Ventilation |
| 00532-CPT | Low | Anes Access Central Venous Circulation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00529. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00529 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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