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See a sample rate comparisonCPT 00580 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.
Anes Heartor Heart/Lung Transplant
| 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
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CPT 00580
5 of 25 sample ratesHigher to lower in this preview
Courtney Scott
$121.22Published rateWilliam Connell
Anesthesia Service Medical Group, Inc.
$84.66Published rateJames Crook
Presbyterian Healthcare Services
$63.15Published rateRobert Savala
California Pacific Orthopaedics And Sports Medicine, A Medic
$54.00Published rateGovindan Balasubramanian
$35.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 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 | Anesthesia For Heart Device, Anesthesia Services For Surgery To Insert Or Replace A Heart Pacing Device Or A Defibrillator (Rhythm Manager). |
| 00566-CPT | Moderate | Anesthe For Direct Corona Arter Bypass Grfting; W/O Pump Ox, Anesthesia For Direct Coronary Artery Bypass Grafting; Without Pump Ox |
| 00567-CPT | Moderate | Anesthesia For Heart Bypass, Anesthesia Services During Heart Surgery To Create A Bypass Graft For A Heart Artery. The Surgery Involves Use Of An Oxygen Pump. |
| 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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