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See a sample rate comparisonCPT 00563 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 Surgery, Anesthesia Services For Heart Surgery Involving The Valves Or For A Repeat Bypass Surgery. The Procedure May Involve Supplementary Ventilation Or Induced Circulatory Arrest.
| 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 P4 - A Patient with severe systemic disease |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00563 |
National average anesthesia conversion factor for CPT 00563 by major payers:
$56.24
$56.30
$58.03
$57.75
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CPT 00563
5 of 25 sample ratesHigher to lower in this preview
Clarence Chow
$121.22Published rateEdward Mccluskey
Faculty Physicians And Surgeons Of Llusm
$91.75Published rateMargaret Vartanian
$67.09Published rateRaymond Chang
$61.00Published rateBrian Bensadigh
Cedars-Sinai Medical Care Foundation
$35.00Published rate
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See a sample payer proposalCPT 00563 vs. Other Anesthesia for Intrathoracic Procedures Codes
The CPT 00563 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 00563 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 |
|---|---|---|
| 00561-CPT | Moderate | Anesthesia For Heart Surgery, Anesthesia Services For Heart Surgery Performed On A Newborn Or Infant. The Procedure Involves The Protective Sac Or The Large Blood Vessels (Aorta Vena Cava). Supplementary Ventilation May Be Provided. |
| 00562-CPT | Moderate | Anesth Hrt Surg W Pmp Age 1, 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 Operation |
| 00563-CPT | Moderate | Anesthesia For Heart Surgery, Anesthesia Services For Heart Surgery Involving The Valves Or For A Repeat Bypass Surgery. The Procedure May Involve Supplementary Ventilation Or Induced Circulatory Arrest. |
| 00566-CPT | Moderate | Anesthe For Direct Corona Arter Bypass Grfting; W/O Pump Ox, Anesthesia For Direct Coronary Artery Bypass Grafting; Without Pump Ox |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00563. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00563 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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