CPT 00797 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 | P3 - A patient with severe systemic disease None AA - Anesthesia by anesthesiologist |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00797 |
National average anesthesia conversion factor for CPT 00797 by major payers:
$58.23
$56.00
$57.01
$55.41
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 00797 | $121.22 | 1710921457 - ROBERT KOPEL | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $90.00 | 1548442601 - PEI-JEN HWANG | 205685365 - (NY) 205 MEDICAL CARE PC | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $121.22 | 1821258138 - ROBERT ELDRIDGE | 953812774 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00797 | $77.18 | 1669575635 - SAMUEL YANOFSKY | 953777340 - CHILDRENS HOSPITAL LOS ANGELES MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $121.22 | 1912111956 - VADIM GUDZENKO | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $63.00 | 1144267907 - WEI LI | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $58.00 | 1295765196 - GEORGE ULMA | 911336707 - THE ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00797 | $67.09 | 1821654468 - RAYMOND CHANG | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $86.00 | 1821656299 - NICHOLAS KALEKAS | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $69.62 | 1639438500 - ZERLINA WONG | 954540991 - USC CARE MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $54.00 | 1902853963 - BETTY LEE-HOANG | 943158784 - (CA) ANESTHESIA CARE ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $69.00 | 1164470571 - CRISTIAN PRUNEAN | 330440096 - (CA) NEWPORT HARBOR ANESTHESIA CONSULTANTS MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $50.00 | 1639141005 - RAYMOND HSIEH | 1639141005 - (CA) RAYMOND HSIEH | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00797 | $91.75 | 1508251992 - COURTNEY BURGDORFF | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $84.66 | 1790075695 - JAN SLIWA | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, 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 00797 vs. Other Anesthesia Codes
The CPT 00797 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 00797 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). |
| 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. |
| 00797-CPT | Moderate | Anes Iper Upr Abd Gstr Px Mo, Anesthesia For Intraperitoneal Procedures In Upper Abdomen Including Laparoscopy; Gastric Restrictive Procedure For Morbid Obesity |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00797. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00797 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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