CPT 00752 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 Upper Abdomen |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital • 24 - Ambulatory Surgical Center |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • P3 - A patient with severe systemic disease |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 00752 by major payers:
$57.83
$55.79
$56.63
$54.58
| 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 00752 | ||||||
United | 00752 | $50.00 | 1033297619 - SHUREA WILSON | 232678055 - METHODIST ASSOCIATES IN HEALTHCARE INC | CA | Anesthesiology Physician (207L00000X) |
United | 00752 | $99.00 | 1962168435 - MERON ADMASSU | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00752 | $121.22 | 1205465085 - JESSICA KUO | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00752 | $54.00 | 1144507930 - TULARE ANESTHESIA CONSULTANTS INC | 453762236 - (CA) TULARE ANESTHESIA CONSULTANTS INC | CA | Anesthesiology Physician (207L00000X) |
United | 00752 | $80.00 | 1386885085 - ZACHARY MILLER | 871221902 - (CA) EL CAMINO ANESTHESIA | CA | Anesthesiology Physician (207L00000X) |
United | 00752 | $61.00 | 1417976085 - JEFFREY SALL | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00752 | $55.00 | 1205820586 - CATHERINE CHUNG | 364999438 - (CA) CA MEDICAL CONSULTANTS | CA | Anesthesiology Physician (207L00000X) |
United | 00752 | $99.00 | 1396235560 - SHIREEN NOURI | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00752 | $128.69 | 1245434190 - DOMINIKA MOTAS | 943281660 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00752 | $52.00 | 1013119734 - EDWARD GUNDRUM | 463842055 - (CA) HP ANESTHESIA INC | CA | Anesthesiology Physician (207L00000X) |
United | 00752 | $57.50 | 1326096165 - REGENTS OF THE UNIVERSITY OF CALIFORNIA, UCLA DEPT OF ANESTHESIOULOGY | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00752 | $128.69 | 1982985446 - CATHERINE CHEN | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00752 | $70.00 | 1346368388 - REHAM HASSAN | 330494633 | CA | Anesthesiology Physician (207L00000X) |
United | 00752 | $99.00 | 1639104011 - TIM YUEN | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00752 | $61.00 | 1245295450 - PHILIP BICKLER | 943281657 | 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 00752 vs. Other Anesthesia for Procedures on the Upper Abdomen Codes
The CPT 00752 code is part of the Anesthesia services used for Anesthesia for Procedures on the Upper Abdomen. 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 00752 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 00752. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00752 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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