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See a sample rate comparisonCPT 00790 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 Abdomen Procedure, Anesthesia Services For A Procedure Involving Any Structure On The Interior Of The Abdomen. This Includes Scope-Assisted (Laparoscope) Procedures.
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Upper Abdomen |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None AA - Anesthesia by anesthesiologist P3 - A patient with severe systemic disease |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00790 |
| Medicaid Fee Schedule | View Medicaid rates for 00790 |
National average anesthesia conversion factor for CPT 00790 by major payers:
$57.77
$55.94
$56.19
$54.74
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CPT 00790
5 of 25 sample ratesHigher to lower in this preview
Natale Naim
$121.22Published rateSeetal Preet Cheema
$99.00Published rateThomas Anderson
$70.00Published rateBenjamin Ho
$56.00Published rateAhmed Shalabi
Cedars-Sinai Medical Care Foundation
$35.00Published rate
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See a sample payer proposalCPT 00790 vs. Other Anesthesia for Procedures on the Upper Abdomen Codes
The CPT 00790 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 00790 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 |
|---|---|---|
| 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). |
| 00756-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). |
| 00790-CPT | Moderate | Anesthesia Abdomen Procedure, Anesthesia Services For A Procedure Involving Any Structure On The Interior Of The Abdomen. This Includes Scope-Assisted (Laparoscope) Procedures. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00790. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00790 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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