CPT 00541 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 • 19 - Off Campus Outpatient Hospital |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • P3 - A patient with severe systemic disease |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 00541 by major payers:
$55.60
$56.02
$57.41
$56.08
| 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 00541 | ||||||
United | 00541 | $99.00 | 1194286849 - CHRISTINA MA | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00541 | $114.08 | 1205024924 - JODI SHERMAN | 60646973 - YALE UNIVERSITY | CA | Anesthesiology Physician (207L00000X) |
United | 00541 | $81.44 | 1093459984 - DAVID FERRER | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 00541 | $78.00 | 1003830092 - FREDERIC BUSHNELL | 954656412 - (CA) PACIFIC VALLEY MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00541 | $55.00 | 1427411396 - CHRISTIE MUN | 237064656 - HEALING THE SOUL | CA | Anesthesiology Physician (207L00000X) |
United | 00541 | $99.00 | 1205094026 - ANDREW GLASGOW PEREZ | 1205094026 - (CA) ANDREW GLASGOW PEREZ | CA | Anesthesiology Physician (207L00000X) |
United | 00541 | $65.00 | 1417319286 - GEORGE ZHOU | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 00541 | $92.00 | 1881011138 - SHO TANAKA | 223371727 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00541 | $91.00 | 1790027670 - JOSHUA HACKETT | 810231784 - BILLINGS CLINIC | CA | Anesthesiology Physician (207L00000X) |
United | 00541 | $76.80 | 1295820413 - MICHAEL LEEMAN | 42697983 - MASS GENERAL BRIGHAM INCORPORATED | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00541 | $50.00 | 1174731004 - STEPHEN DIEKER | 330185031 - (CA) PROVIDENCE MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00541 | $49.00 | 1750325171 - JEREMIAH MALONEY | 854388339 - (CA) TRINITY ANESTHESIA GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 00541 | $38.00 | 1821303769 - DEVINDER KUMAR MD INC, ULTIMATE PAIN MANAGEMENT | 272226074 - (CA) DEVINDER KUMAR, M.D., INC. | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00541 | $121.22 | 1851826333 - STEFAN BESADA | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00541 | $55.50 | 1164494274 - ANGELA AZAR | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | 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 00541 vs. Other Anesthesia for Intrathoracic Procedures Codes
The CPT 00541 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 00541 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 |
|---|---|---|
| 00529-CPT | Moderate | Anesthesia For Closed Chest Procedures; Mediastinoscopy And Diagnostic Thoracoscopy Utilizing One Lung Ventilation |
| 00537-CPT | Moderate | Anesthesia, Cardiac Electrophys Procedures Inc Radiofrequency Ablation |
| 00539-CPT | Moderate | Anesthesia For Tracheobronchial Reconstruction |
| 00541-CPT | Moderate | Anesthesia For Thoracotomy Procedures Involving Lungs, Pleura, Diaphragm, And Mediastinum (Including Surgical Thoracoscopy); Utilizing 1 Lung Ventilation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00541. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00541 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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