CPT 00566 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 | • P4 - A Patient with severe systemic disease • AA - Anesthesia by anesthesiologist • None |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 00566 by major payers:
$55.77
$56.30
$58.15
$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 00566 | ||||||
United | 00566 | $75.19 | 1154344091 - HOANG TRAN | 363097297 - NORTHWESTERN MEMORIAL HEALTHCARE | CA | Anesthesiology Physician (207L00000X) |
United | 00566 | $62.00 | 1962431247 - EDWIN MATIAS | 824555570 - (CA) AXIOM ANESTHESIA GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 00566 | $61.00 | 1093451692 - FLORIAN ROQUET | 943281663 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00566 | $121.22 | 1063857563 - JANE MOON | 954395492 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00566 | $121.54 | 1285013607 - HUNG TRAN | 760482007 - U.S. ANESTHESIA PARTNERS OF TEXAS, P.A. | CA | Anesthesiology Physician (207L00000X) |
United | 00566 | $128.69 | 1518226380 - EVE NYRHINEN | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00566 | $61.59 | 1609819895 - HARJINDER DHALIWAL | 680174393 - (CA) METROPOLITAN ANESTHESIOLOGY CONSULTANTS INC | CA | Anesthesiology Physician (207L00000X) |
United | 00566 | $53.00 | 1093938524 - INGER ALIASON | 464150987 - (CA) VALLEY CHILDRENS MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00566 | $62.00 | 1548467962 - NICHOLAS BACK | 954444226 - (CA) BUENA VISTA ANESTHESIA MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00566 | $61.00 | 1558319426 - MONA GOLDFINE | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00566 | $121.22 | 1669414140 - KEREN ZIV | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00566 | $121.22 | 1710921457 - ROBERT KOPEL | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00566 | $58.00 | 1083145783 - CAITLIN CAMMARANO | 770376721 - (CA) CYPRESS COAST ANESTHESIA MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 00566 | $57.00 | 1609880947 - PREMIER ANESTHESIA MEDICAL GROUP | 770366626 - (CA) PREMIER ANESTHESIA MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00566 | $128.69 | 1467858571 - MAYTINEE LILAONITKUL | 943281660 | 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 00566 vs. Other Anesthesia for Intrathoracic Procedures Codes
The CPT 00566 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 00566 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 |
| 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 |
| 00566-CPT | Moderate | Anesthesia, Direct Coronary Artery Bypass Grafting Wo Pump Oxygenator |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00566. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00566 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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