CPT 00796 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 • None • 24 - Ambulatory Surgical Center |
| Common Modifiers | • AA - Anesthesia by anesthesiologist • P4 - A Patient with severe systemic disease • None |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00796 |
National average anesthesia conversion factor for CPT 00796 by major payers:
$50.27
$38.36
$58.24
$58.58
| 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 00796 | ||||||
United | 00796 | $61.00 | 1609982115 - EFREN BARIA | 943281663 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00796 | $62.50 | 1548292097 - KANWARJIT SUFI | 770134807 - (CA) ANESTHESIA CONSULTANTS OF FRESNO | CA | Anesthesiology Physician (207L00000X) |
United | 00796 | $121.22 | 1710129325 - GOLDIE WINGE | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00796 | $69.00 | 1235170895 - IVAN ZEITZ | 680304987 - (CA) NORTHERN CALIFORNIA ANESTHESIA PHYSICIANS, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00796 | $55.00 | 1215534250 - SUNG IM MD A MEDICAL CORPORATION | 813370986 - (CA) SUNG IM MD A MEDICAL CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 00796 | $65.00 | 1588906036 - MICHAEL DOAN | 330500394 - (CA) CALIFORNIA ANESTHESIA ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00796 | $55.00 | 1861658486 - MICHAEL KIM | 452876514 - (CA) MICHAEL J KIM MD INC | CA | Anesthesiology Physician (207L00000X) |
United | 00796 | $61.00 | 1144247842 - KIMBERLY SKIDMORE | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00796 | $84.66 | 1881608123 - KENT DIVELEY | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00796 | $69.00 | 1255690129 - PAUL RABEDEAUX | 273496527 - (WI) GENERATIONS FERTILITY CARE INC | CA | Anesthesiology Physician (207L00000X) |
United | 00796 | $35.00 | 1164400834 - RICHARD SHUMAN | 330168512 | CA | Anesthesiology Physician (207L00000X) |
United | 00796 | $65.00 | 1639380496 - ANA CRAWFORD | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 00796 | $117.22 | 1437295599 - SHIU-YI CHEN | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00796 | $61.00 | 1831147305 - KATHRYN ROUINE-RAPP | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00796 | $49.50 | 1639193147 - DAVID HUANG | 953758107 | 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 00796 vs. Other Anesthesia for Procedures on the Upper Abdomen Codes
The CPT 00796 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 00796 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 | Anes Hernia Rep Up Abd; Lumb/Vent/ Wound |
| 00754-CPT | Moderate | Anes Hernia Rep Up Abd; Omphacele |
| 00792-CPT | Moderate | Anesthesia For Intraperitoneal Procedures In Upper Abdomen Including Laparoscopy; Partial Hepatectomy Or Management Of Liver Hemorrhage (Excluding Liver Biopsy) |
| 00796-CPT | Moderate | Anes Intraperitoneal; Transplant Recipie |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00796. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00796 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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