CPT 00625 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 Procedures on the Spine and Spinal Cord |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital • 11 - Office |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • P3 - A patient with severe systemic disease |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 00625 by major payers:
$55.20
$54.23
$57.52
$56.03
| 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 00625 | ||||||
United | 00625 | $56.00 | 1598925877 - SUKHDEEP ATHWAL | 882872979 - (CA) VALLEY REGIONAL ANESTHESIA ASSOCIATES INC | CA | Anesthesiology Physician (207L00000X) |
United | 00625 | $56.00 | 1184688715 - SHUNMUGARAJA SUBBIAH | 800927296 | CA | Anesthesiology Physician (207L00000X) |
United | 00625 | $62.00 | 1326071432 - MARICA NINO | 931013923 - (OR) OREGON ANESTHESIOLOGY GROUP, P.C. | CA | Anesthesiology Physician (207L00000X) |
United | 00625 | $60.00 | 1831519164 - ANNA BETTINI | 770460802 | CA | Anesthesiology Physician (207L00000X) |
United | 00625 | $30.00 | 1750673570 - ROBERT LOCKE | 330695244 - (CA) SOUTH TAHOE ANESTHESIA MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00625 | $75.00 | 1356355499 - KEN ZUCKERMAN | 943192738 - (CA) CHILDRENS ANESTHESIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00625 | $128.69 | 1821654468 - RAYMOND CHANG | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00625 | $53.00 | 1609103852 - EMANUEL ZUSMER | 956419205 - (CA) SANSUM CLINIC | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00625 | $60.00 | 1790168722 - LEE NGUYEN | 680334324 | CA | Anesthesiology Physician (207L00000X) |
United | 00625 | $56.00 | 1164657771 - BAHER BOCTOR | 1164657771 - (CA) BAHER BOCTOR | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00625 | $60.00 | 1235199894 - STEVEN SNYDER | 330406164 | CA | Anesthesiology Physician (207L00000X) |
United | 00625 | $55.00 | 1881038891 - JACKLYNN SZTAIN | 237064656 - HEALING THE SOUL | CA | Anesthesiology Physician (207L00000X) |
United | 00625 | $50.00 | 1023126869 - KYUNG RO | 203878757 - (CA) KYUNG K RO MD PROFESSIONAL CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 00625 | $71.00 | 1386771707 - DAVID MOROMISATO | 901116750 - (AZ) BANNER | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00625 | $60.00 | 1801986377 - SHAILESH SHAH | 923191040 | 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 00625 vs. Other Anesthesia for Procedures on the Spine and Spinal Cord Codes
The CPT 00625 code is part of the Anesthesia services used for Anesthesia for Procedures on the Spine and Spinal Cord. 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 00625 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 |
|---|---|---|
| 00620-CPT | Moderate | Anes Thoracic Spine/Cord; Nos |
| 00625-CPT | Moderate | Anesthesia For Procedures On The Thoracic Spine And Cord, Via An Anterior Transthoracic Approach; Not Utilizing 1 Lung Ventilation |
| 00626-CPT | Moderate | Anesthesia For Procedures On The Thoracic Spine And Cord, Via An Anterior Transthoracic Approach; Utilizing 1 Lung Ventilation |
| 00630-CPT | Moderate | Anes Lumbar Region; Nos |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00625. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00625 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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