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See a sample rate comparisonCPT 00530 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 Heart Device, Anesthesia Services For Surgery To Insert Or Replace A Heart Pacing Device Or A Defibrillator (Rhythm Manager).
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Intrathoracic Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | QS - Monitored anesthesia care service QX - Qualified nonphysician anesthetist service: With medical direction by a physician QK - Medical direction of two, three or four concurrent anesthesia procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 00530 |
National average anesthesia conversion factor for CPT 00530 by major payers:
$58.10
$55.71
$56.34
$54.47
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CPT 00530
5 of 25 sample ratesHigher to lower in this preview
Brian Nevitt
Sutter Bay Medical Foundation
$113.00Published rateMark Singleton
$70.00Published rateOleg Vosicher
Buena Vista Anesthesia Medical Group
$63.00Published rateMichael Bigelow
Peninsula Anesthesia Consultants, Inc.
$54.00Published rateNicholas Schiavoni
Cedars-Sinai Medical Care Foundation
$35.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 00530 vs. Other Anesthesia for Intrathoracic Procedures Codes
The CPT 00530 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 00530 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 | Anesthesia For Chest Procedure, Anesthesia Services For A Procedure Involving The Interior Of The Chest. Examples Include Withdrawing Fluid And Scope-Assisted Exams. |
| 00530-CPT | Low | Anesthesia For Heart Device, Anesthesia Services For Surgery To Insert Or Replace A Heart Pacing Device Or A Defibrillator (Rhythm Manager). |
| 00532-CPT | Low | Anesthesia For Access Device, Anesthesia Services For Insertion Of A Device Under The Surface Of The Skin. Examples Of Devices Include Ivs Drainage Tubes And Catheters (Small Tubes) To Provide Access To A Blood Vessel. |
| 00534-CPT | Moderate | Anesthesia For Heart Device, Anesthesia Services For Surgery To Insert Or Replace A Heart Pacing Device Or A Defibrillator (Rhythm Manager). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00530. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00530 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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