CPT 00580 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 |
| Medicare Fee Schedule | View Medicare rates for 00580 |
National average anesthesia conversion factor for CPT 00580 by major payers:
$55.65
$55.62
$58.06
$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 00580 | ||||||
United | 00580 | $71.30 | 1538126099 - MICHAEL CHAMPEAU | 941707884 - (CA) ASSOCIATED ANESTHESIOLOGISTS MEDICAL GROUP, P.C. | CA | Anesthesiology Physician (207L00000X) |
United | 00580 | $50.00 | 1629000369 - RONALD BIERMA | 270271872 | CA | Anesthesiology Physician (207L00000X) |
United | 00580 | $71.00 | 1366755621 - MARGARET HOCKETT | 850812156 | CA | Anesthesiology Physician (207L00000X) |
United | 00580 | $45.00 | 1821640145 - SDPM MEDICAL GROUP, INCORPORATED, SAN DIEGO PAIN MANAGEMENT | 842303650 - (CA) SDPM MEDICAL GROUP INCORPORATED | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00580 | $121.22 | 1881048700 - COURTNEY SCOTT | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00580 | $117.22 | 1093081705 - BALBINO LOPEZ | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 00580 | $117.22 | 1942436324 - ROBIN KIM | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 00580 | $121.22 | 1770680506 - RICHARD HONG | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00580 | $84.66 | 1609848027 - WILLIAM CONNELL | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00580 | $54.00 | 1346224540 - RICHARD LIBAO | 1346224540 - (CA) RICHARD LIBAO | CA | Anesthesiology Physician (207L00000X) |
United | 00580 | $65.00 | 1306005277 - ALFREDO URDANETA | 770465765 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00580 | $38.00 | 1992868368 - MARYAM RAHBAR | 261820100 - (CA) M RAHBAR MD INC | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00580 | $63.15 | 1477519197 - JAMES CROOK | 850105601 - PRESBYTERIAN HEALTHCARE SERVICES | CA | Anesthesiology Physician (207L00000X) |
United | 00580 | $35.00 | 1396716759 - GOVINDAN BALASUBRAMANIAN | 770004757 | CA | Anesthesiology Physician (207L00000X) |
United | 00580 | $61.00 | 1457812281 - MIKHAELA ARAMBULO | 943281663 | 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 00580 vs. Other Anesthesia for Intrathoracic Procedures Codes
The CPT 00580 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 00580 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 |
|---|---|---|
| 00534-CPT | Moderate | Anes For Transvenous Insertion Or Replacement Of Cardioverter/Defibrillator |
| 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 |
| 00580-CPT | Moderate | Anes Heartor Heart/Lung Transplant |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00580. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00580 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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