CPT 00754 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 for Procedures on the Upper Abdomen Anesthesia |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | AA - Anesthesia by anesthesiologist None P3 - A patient with severe systemic disease |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00754 |
National average anesthesia conversion factor for CPT 00754 by major payers:
$58.06
$55.62
$57.09
$54.74
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 00754 | $121.22 | 1679626162 - JOSEPH MELTZER | 954377219 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00754 | $83.00 | 1871814558 - PETER WONG | 932316816 | CA | Anesthesiology Physician (207L00000X) |
United | 00754 | $117.22 | 1033522032 - STACI BECKER | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 00754 | $71.30 | 1710945837 - EDWARD BAER | 941707884 - (CA) ASSOCIATED ANESTHESIOLOGISTS MEDICAL GROUP, P.C. | CA | Anesthesiology Physician (207L00000X) |
United | 00754 | $63.00 | 1528081270 - JOHN REIDY | 330359522 | CA | Anesthesiology Physician (207L00000X) |
United | 00754 | $60.00 | 1134532203 - GREGORY PETERFREUND | 680334324 | CA | Anesthesiology Physician (207L00000X) |
United | 00754 | $65.00 | 1326494097 - MARYN KANTER | 426004813 | CA | Anesthesiology Physician (207L00000X) |
United | 00754 | $52.00 | 1871577106 - STEPHEN KOURI | 475031006 | CA | Anesthesiology Physician (207L00000X) |
United | 00754 | $78.00 | 1033430855 - RAHTNA BANERJEE | 954656412 - (CA) PACIFIC VALLEY MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00754 | $37.00 | 1821186776 - JP ANESTHESIOLOGY, INC, ADVANCED PAIN MANAGEMENT CENTER | 201620044 - (CA) JP ANESTHESIOLOGY, INC. | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00754 | $66.00 | 1538356217 - JENNIFER WAGNER | 362193608 - SHRINERS HOSPITALS FOR CHILDREN | CA | Anesthesiology Physician (207L00000X) |
United | 00754 | $35.00 | 1811216245 - PETER KIM | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00754 | $128.69 | 1558319426 - MONA GOLDFINE | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00754 | $74.00 | 1205463049 - TEAL JENKINS | 952655301 - (CA) ANESTHESIA MEDICAL GROUP OF SANTA BARBARA, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00754 | $64.15 | 1558771204 - MENAKA MENTCH | 330777545 - (CA) MISSION VIEJO ANESTHESIA CONSULTANTS, INC. | 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 00754 vs. Other Anesthesia Codes
The CPT 00754 code is part of the Anesthesia for Procedures on the Upper Abdomen services used for Anesthesia. 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 00754 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 |
|---|---|---|
| 00700-CPT | Low | Anesthe For Procs On Upper Anterio Abdomi Wall; Not Otherw, Anesthesia For Procedures On Upper Anterior Abdominal Wall; Not Otherw |
| 00750-CPT | Low | Anesthesia For Hernia Repair, Anesthesia Services For Surgery To Repair A Hernia. Hernias Occur When Organs Or Other Structures Bulge Through Containing Tissue Into Other Areas. Common Types Include Incisional Hernias (Through A Surgical Scar) And Stomach Hernias (Into Upper Abdomen). |
| 00752-CPT | Moderate | Anesthesia For Hernia Repair, Anesthesia Services For Surgery To Repair A Hernia. Hernias Occur When Organs Or Other Structures Bulge Through Containing Tissue Into Other Areas. Common Types Include Incisional Hernias (Through A Surgical Scar) And Stomach Hernias (Into Upper Abdomen). |
| 00754-CPT | Moderate | Anesthesia For Hernia Repair, Anesthesia Services For Surgery To Repair A Hernia. Hernias Occur When Organs Or Other Structures Bulge Through Containing Tissue Into Other Areas. Common Types Include Incisional Hernias (Through A Surgical Scar) And Stomach Hernias (Into Upper Abdomen). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00754. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00754 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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