CPT 00792 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 | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital • 19 - Off Campus Outpatient Hospital |
| Common Modifiers | • None • P3 - A patient with severe systemic disease • AA - Anesthesia by anesthesiologist |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 00792 by major payers:
$55.38
$55.97
$57.49
$55.75
| 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 00792 | ||||||
United | 00792 | $128.69 | 1447937388 - STEPHEN HOWEY | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00792 | $51.00 | 1114169877 - THOMAS HELSBY | 881191558 - (CA) CORE ANESTHESIA PROVIDER SERVICES PC | CA | Anesthesiology Physician (207L00000X) |
United | 00792 | $51.00 | 1942569223 - MARCUS VIEIRA | 881191558 - (CA) CORE ANESTHESIA PROVIDER SERVICES PC | CA | Anesthesiology Physician (207L00000X) |
United | 00792 | $82.00 | 1326071432 - MARICA NINO | 264290978 - (CA) GREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC | CA | Anesthesiology Physician (207L00000X) |
United | 00792 | $44.00 | 1457304099 - HAZEM ZEKRY | 1457304099 - (CA) HAZEM ZEKRY | CA | Anesthesiology Physician (207L00000X) |
United | 00792 | $61.00 | 1497914006 - WENDY WOO | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00792 | $61.00 | 1720109176 - ZHONGHUI GUAN | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00792 | $35.00 | 1235543364 - SEROOS SALAVATI | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00792 | $121.22 | 1134418023 - EILON GABEL | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00792 | $55.50 | 1982166237 - KRISTIANNA WI | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 00792 | $50.00 | 1184796492 - MANUEL SAENZ | 1184796492 - (CA) MANUEL SAENZ | CA | Anesthesiology Physician (207L00000X) |
United | 00792 | $128.69 | 1184933418 - STEPHEN WESTON | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00792 | $113.00 | 1366489502 - DAVID DONALD | 680273974 - SUTTER VALLEY MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00792 | $65.00 | 1669673687 - HARVINDER RAMSINGH | 472040579 | CA | Anesthesiology Physician (207L00000X) |
United | 00792 | $86.00 | 1003058827 - CATHERINE CHA | 954377219 | 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 00792 vs. Other Anesthesia for Procedures on the Upper Abdomen Codes
The CPT 00792 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 00792 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 |
|---|---|---|
| 00756-CPT | Moderate | Anes Hernia Rep Up Abd; Diaphragmatic He |
| 00790-CPT | Moderate | Anes Intraperitoneal Inc Shunts; Nos |
| 00792-CPT | Moderate | Anesthesia For Intraperitoneal Procedures In Upper Abdomen Including Laparoscopy; Partial Hepatectomy Or Management Of Liver Hemorrhage (Excluding Liver Biopsy) |
| 00794-CPT | Moderate | Anesthesia For Intraperitoneal Procedures In Upper Abdomen Including Laparoscopy; Pancreatectomy, Partial Or Total (Eg, Whipple Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00792. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00792 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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