CPT 00630 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 | • 22 - On Campus Outpatient Hospital • 24 - Ambulatory Surgical Center • 21 - Inpatient Hospital |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • P3 - A patient with severe systemic disease |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00630 |
National average anesthesia conversion factor for CPT 00630 by major payers:
$57.88
$55.92
$56.45
$54.88
| 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 00630 | ||||||
United | 00630 | $60.00 | 1447639877 - JAMES DUCA | 680334324 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00630 | $65.69 | 1366459679 - STEVEN THORUP | 911939739 - FRANCISCAN MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00630 | $69.62 | 1902089824 - ELAINE LIEW | 954540991 - USC CARE MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 00630 | $53.00 | 1447270301 - STEVEN WHEELER | 770385840 - (CA) NORTH COUNTY ANESTHESIA MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00630 | $65.00 | 1437656220 - JASON POWELL | 330636378 - (CA) ANESTHESIA CONSULTANTS OF CALIFORNIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00630 | $63.00 | 1700015708 - VICTORIA ZHENG | 330359522 | CA | Anesthesiology Physician (207L00000X) |
United | 00630 | $83.00 | 1356545925 - THONG LE | 471884235 - CEP AMERICA | CA | Anesthesiology Physician (207L00000X) |
United | 00630 | $128.69 | 1487072195 - ALBERT YEN | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 00630 | $121.22 | 1821258138 - ROBERT ELDRIDGE | 953812774 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00630 | $70.00 | 1568093045 - KELLY FEDORUK | 260089066 | CA | Anesthesiology Physician (207L00000X) |
United | 00630 | $45.00 | 1841333960 - RONGHUAN LIU | 273068347 | CA | Anesthesiology Physician (207L00000X) |
United | 00630 | $55.50 | 1821521410 - LINDSEY SENOZAN | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 00630 | $80.00 | 1104997550 - JUSTIN VO | 871221902 - (CA) EL CAMINO ANESTHESIA | CA | Anesthesiology Physician (207L00000X) |
United | 00630 | $65.00 | 1902818131 - MY-LE TRUONG | 472040579 | CA | Anesthesiology Physician (207L00000X) |
United | 00630 | $55.00 | 1760646152 - HAI DUONG | 203448659 - (CA) BEAR CREEK ANESTHESIA MEDICAL GROUP | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
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 00630 vs. Other Anesthesia for Procedures on the Spine and Spinal Cord Codes
The CPT 00630 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 00630 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00630. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00630 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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