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See a sample rate comparisonCPT 00626 Fee Schedule
Last Verified: September 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.
Anesthesia For The Middle Back, Anesthesia Services For A Procedure On The Middle Back. These Procedures Include Spinal Nerve Surgery And May Require Mechanical Breathing Assistance.
| 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 |
| Common Modifiers | 22 - Increased Procedural Services None QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00626 |
| Medicaid Fee Schedule | View Medicaid rates for 00626 |
National average anesthesia conversion factor for CPT 00626 by major payers:
$59.77
$55.62
$57.72
$56.08
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CPT 00626
5 of 25 sample ratesHigher to lower in this preview
Hung Nguyen
$128.69Published rateSharon Leano
Sutter Valley Medical Foundation
$113.00Published rateAstkhik Mangasarian
Faculty Physicians And Surgeons Of Llusm
$81.44Published rateYan Li
Anesthesia Consultants Of California Medical Group, Inc.
$65.00Published ratePaul Choi
$45.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 00626 vs. Other Anesthesia for Procedures on the Spine and Spinal Cord Codes
The CPT 00626 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 00626 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 | Anesthesia For The Middle Back, Anesthesia Services For A Procedure On The Middle Back. These Procedures Include Spinal Nerve Surgery And May Require Mechanical Breathing Assistance. |
| 00625-CPT | Moderate | Anesthesia For The Middle Back, Anesthesia Services For A Procedure On The Middle Back. These Procedures Include Spinal Nerve Surgery And May Require Mechanical Breathing Assistance. |
| 00626-CPT | Moderate | Anesthesia For The Middle Back, Anesthesia Services For A Procedure On The Middle Back. These Procedures Include Spinal Nerve Surgery And May Require Mechanical Breathing Assistance. |
| 00632-CPT | Moderate | Anesthesia Low Back Procedure, Anesthesia Services For A Procedure On The Lower Back Such As A Lumbar Puncture Herniated Disk Surgery Or Spinal Nerve Surgery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00626. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00626 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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