CPT 00560 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 • 23 - Emergency Room |
| Common Modifiers | • AA - Anesthesia by anesthesiologist • None • QS - Monitored anesthesia care service |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 00560 by major payers:
$54.33
$56.02
$57.45
$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 00560 | ||||||
United | 00560 | $69.00 | 1356632392 - JENNIFER GERBER | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 00560 | $74.00 | 1295362440 - ERICA PARKER | 952655301 - (CA) ANESTHESIA MEDICAL GROUP OF SANTA BARBARA, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00560 | $30.00 | 1194722611 - STANLEY CHOU | 263088481 - (CA) PACIFIC COMPREHENSIVE PAIN MANAGEMENT INC | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00560 | $57.50 | 1194187393 - ANDREW WU | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00560 | $58.58 | 1336535384 - KEVIN CHUNG | 363627294 | CA | Anesthesiology Physician (207L00000X) |
United | 00560 | $62.00 | 1932155769 - BYRON MENDENHALL | 852611756 - (CA) OAK CREEK ANESTHESIA SERVICES INC | CA | Anesthesiology Physician (207L00000X) |
United | 00560 | $65.00 | 1124045927 - KOMAL KAMRA | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 00560 | $86.00 | 1619164084 - KIMBERLY HOWARD-QUIJANO | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00560 | $99.00 | 1720202054 - JOHN CHALABI | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00560 | $38.00 | 1770555724 - BIHARI SHAH | 953745320 - (CA) SHAH MD, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00560 | $55.00 | 1992239792 - SASSAN RAFIZADEH | 851004043 - (CA) COACHELLA VALLEY ANESTHESIA A PROFESSIONAL CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 00560 | $55.50 | 1871052779 - JOHNNY HOANG | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 00560 | $99.00 | 1013959501 - LORRAINE LUBIN | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00560 | $60.00 | 1841723228 - JOHN SUN | 680334324 | CA | Anesthesiology Physician (207L00000X) |
United | 00560 | $77.18 | 1306932462 - NIURKA RIVERO | 953777340 - CHILDRENS HOSPITAL LOS ANGELES MEDICAL GROUP INC | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
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 00560 vs. Other Anesthesia for Intrathoracic Procedures Codes
The CPT 00560 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 00560 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 |
|---|---|---|
| 00546-CPT | Moderate | Anesthesia For Thoracotomy Procedures Involving Lungs, Pleura, Diaphragm, And Mediastinum (Including Surgical Thoracoscopy); Pulmonary Resection With Thoracoplasty |
| 00548-CPT | Moderate | Anesthesia For Thoracotomy Procs Involving Lungs, Pleura, Diaphragm, And Mediastinum (Including Surgical Thoracoscopy); Intrathoracic Procedures On The Trachea And Bronchi |
| 00550-CPT | Moderate | Anesthesia For Sternal Debridement |
| 00560-CPT | Moderate | Anes Heart Pericard/Chest Vessels W/O Ox |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00560. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00560 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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