CPT 00562 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 • P4 - A Patient with severe systemic disease • None |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 00562 by major payers:
$55.57
$56.16
$57.73
$56.91
| 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 00562 | ||||||
United | 00562 | $65.00 | 1578589719 - JAMES FEHR | 770465765 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00562 | $48.00 | 1306871199 - DAVID LU | 330472032 - (CA) IRVINE ANESTHESIA CONSULTANTS MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00562 | $58.52 | 1205091204 - TIGRAN SUKIASYAN | 951816017 - (CA) GLENDALE ADVENTIST MEDICAL CENTER | CA | Anesthesiology Physician (207L00000X) |
United | 00562 | $55.00 | 1629012372 - JEFFREY PASKIL | 1629012372 - (CA) JEFFREY PASKIL | CA | Anesthesiology Physician (207L00000X) |
United | 00562 | $66.00 | 1902169634 - MICHAEL MALONEY | 362193608 - SHRINERS HOSPITALS FOR CHILDREN | CA | Anesthesiology Physician (207L00000X) |
United | 00562 | $99.00 | 1417274838 - REED HARVEY | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00562 | $83.00 | 1134145840 - STEVEN NALEWAY | 471884235 - CEP AMERICA | CA | Anesthesiology Physician (207L00000X) |
United | 00562 | $65.00 | 1578531430 - ANTHONY DOUFAS | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 00562 | $54.00 | 1811937980 - ALEX GOODMAN | 943158784 - (CA) ANESTHESIA CARE ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00562 | $55.50 | 1508946690 - HO J CHOI | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 00562 | $84.66 | 1528082542 - JOHN WRIGHT | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00562 | $41.00 | 1467421578 - RENATO BARGA | 770500726 - (CA) COMMUNITY ANESTHESIA PROVIDERS MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00562 | $117.22 | 1093169047 - DIPAL SHAH | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 00562 | $60.00 | 1619166931 - GARY KAO | 811684142 | CA | Anesthesiology Physician (207L00000X) |
United | 00562 | $90.00 | 1215048632 - HAYWARD MABEN | 208584688 - (CA) ANESTHESIA CARE CONSULTANTS, 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 00562 vs. Other Anesthesia for Intrathoracic Procedures Codes
The CPT 00562 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 00562 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 |
|---|---|---|
| 00560-CPT | Moderate | Anes Heart Pericard/Chest Vessels W/O Ox |
| 00561-CPT | Moderate | Anesthesia For Procedures On Heart, Pericardial Sac, And Great Vessels Of Chest; With Pump Oxygenator, Younger Than 1 Year Of Age |
| 00562-CPT | Moderate | Anesthesia For Procedures On Heart, Pericardial Sac, And Great Vessels Of Chest; With Pump Oxygenator, Age 1 Year Or Older, For All Noncoronary Bypass Procedures (Eg, Valve Procedures) Or For Re-Operation For Coronary Bypass More Than 1 Month After Original Operati |
| 00563-CPT | Moderate | Anesthesia For Procedures On Heart, Pericardial Sac, And Great Vessels Of Chest; With Pump Oxygenator With Hypothermic Circulatory Arrest |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00562. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00562 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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