CPT 00563 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 • P4 - A Patient with severe systemic disease |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 00563 by major payers:
$56.24
$56.30
$58.03
$57.75
| 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 00563 | ||||||
United | 00563 | $53.00 | 1952822454 - AUDESHO SHLIMUN | 464150987 - (CA) VALLEY CHILDRENS MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00563 | $55.00 | 1518594910 - CAITLIN KROL | 237064656 - HEALING THE SOUL | CA | Anesthesiology Physician (207L00000X) |
United | 00563 | $65.00 | 1629574660 - REBECCA MORRIS | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 00563 | $86.00 | 1467473751 - WAYNE KLEINMAN | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00563 | $113.00 | 1578576591 - VENKAT SRINIVASAN | 680273974 - SUTTER VALLEY MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00563 | $99.00 | 1396036588 - BRADLEY REID | 954377219 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00563 | $93.01 | 1962821629 - DAVID KOHANCHI | 834708723 - (CA) G2 ANESTHESIA, PC | CA | Anesthesiology Physician (207L00000X) |
United | 00563 | $71.19 | 1306151857 - EVELYN BONILLA | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00563 | $60.00 | 1780647750 - KULDEEP JAGPAL | 263765830 - (CA) PARAMOUNT ANESTHESIA ASSOCIATES INC | CA | Anesthesiology Physician (207L00000X) |
United | 00563 | $99.00 | 1073704300 - ZARAH ANTONGIORGI | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00563 | $117.22 | 1861784126 - KYLE PAREDES | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 00563 | $52.00 | 1871577106 - STEPHEN KOURI | 475031006 | CA | Anesthesiology Physician (207L00000X) |
United | 00563 | $121.22 | 1295091635 - AVIVA REGEV | 954544777 - (CA) THE REGENTS OF THE UNIVERSITY OF CALIFORNIA | CA | Anesthesiology Physician (207L00000X) |
United | 00563 | $67.00 | 1912320615 - ASMINA KHAN MEDICAL CORPORATION, SILICON VALLEY PAIN MANAGEMENT | 464575165 - (CA) ASMINA KHAN MEDICAL CORPORATION | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00563 | $44.00 | 1295000438 - ALESSA MEDICAL CORPORATION | 452770244 - (CA) ALESSA MEDICAL CORPORATION | 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 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 |
|---|---|---|
| 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 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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