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See a sample rate comparisonCPT 00640 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.
Anesth Spine Manipulation, Anesthesia For Manipulation Of The Spine Or For Closed Procedures On The Cervical Thoracic Or Lumbar Spine
| 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 QS - Monitored anesthesia care service AA - Anesthesia by anesthesiologist |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 00640 |
National average anesthesia conversion factor for CPT 00640 by major payers:
$46.96
$54.09
$55.99
$22.11
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CPT 00640
5 of 25 sample ratesHigher to lower in this preview
Gerard Dang
$128.69Published rateLibing Wang
$86.00Published rateBarry Wilson
Salem Health
$70.00Published rateAubrey Yao
$60.00Published rateChad Heng
In Pain Physicians Network Inc
$38.00Published rate
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See a sample payer proposalCPT 00640 vs. Other Anesthesia for Procedures on the Spine and Spinal Cord Codes
The CPT 00640 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 00640 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 |
|---|---|---|
| 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. |
| 00635-CPT | Low | 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. |
| 00640-CPT | Low | Anesth Spine Manipulation, Anesthesia For Manipulation Of The Spine Or For Closed Procedures On The Cervical Thoracic Or Lumbar Spine |
| 00670-CPT | Moderate | Anesthesia For Spine Surgery, Anesthesia Services For A Surgery On The Spine And Spinal Cord. Examples Include Attaching Instruments After A Spinal Fusion And Surgery On The Blood Vessels Of The Spinal Cord. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00640. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00640 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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