CPT 00539 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 | • AA - Anesthesia by anesthesiologist • P3 - A patient with severe systemic disease • None |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 00539 by major payers:

$58.50

$1,310.90

$57.95

$56.58
| 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 00539 | ||||||
United | 00539 | $60.00 | 1588756076 - ALL WAYS HOMECARE INC | 202696236 | FL | Home Health Agency (251E00000X) |
United | 00539 | $35.00 | 1801164967 - DA PEDIATRIC REHABILITATION | 270939565 - (FL) DA PEDIATRIC REHABILITATION | FL | Home Health Agency (251E00000X) |
United | 00539 | $60.00 | 1801164967 - DA PEDIATRIC REHABILITATION | 270939565 - (FL) DA PEDIATRIC REHABILITATION | FL | Home Health Agency (251E00000X) |
United | 00539 | $60.00 | 1649599168 - RESTORATIVE HEALTH REHABILITATION INC | 272533824 - (FL) RESTORATIVE HEALTH REHABILITATION INC | FL | Home Health Agency (251E00000X) |
United | 00539 | $60.00 | 1649599168 - RESTORATIVE HEALTH REHABILITATION INC | 272533824 - (FL) RESTORATIVE HEALTH REHABILITATION INC | FL | Home Health Agency (251E00000X) |
United | 00539 | $138.61 | 1467408302 - EDWARD EISLER | 133544120 - CAREMOUNT MEDICAL, P.C. | CA | Anesthesiology Physician (207L00000X) |
United | 00539 | $147.14 | 1942682414 - GALAXY MUDDA | 461617561 - (NY) NORTH SHORE-LIJ ANESTHESIOLOGY PC | CA | Anesthesiology Physician (207L00000X) |
United | 00539 | $147.14 | 1407218167 - SANJAY BELANI | 461617561 - (NY) NORTH SHORE-LIJ ANESTHESIOLOGY PC | CA | Anesthesiology Physician (207L00000X) |
United | 00539 | $87.55 | 1881011138 - SHO TANAKA | 223146927 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00539 | $87.55 | 1598027005 - SOROSCH DIDEHVAR | 223146927 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00539 | $71.00 | 1669735064 - DANIEL ABRAHAM | 232743545 | CA | Anesthesiology Physician (207L00000X) |
United | 00539 | $1935.26 | 1902089824 - ELAINE LIEW | 391824445 - UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC | CA | Anesthesiology Physician (207L00000X) |
United | 00539 | $96.13 | 1598027005 - SOROSCH DIDEHVAR | 223146927 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00539 | $100.00 | 1710036850 - JOSEPH LEVINE | 113613997 - (NY) CHS PHYSICIAN PARTNERS PC | NY | Clinical Cardiac Electrophysiology Physician (207RC0001X) |
United | 00539 | $90.00 | 1710036850 - JOSEPH LEVINE | 113613997 - (NY) CHS PHYSICIAN PARTNERS PC | NY | Clinical Cardiac Electrophysiology Physician (207RC0001X) |
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 00539 vs. Other Anesthesia for Intrathoracic Procedures Codes
The CPT 00539 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 00539 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00539. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00539 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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