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See a sample rate comparisonCPT 00797 Fee Schedule
Last Verified: October 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.
Anes Iper Upr Abd Gstr Px Mo, Anesthesia For Intraperitoneal Procedures In Upper Abdomen Including Laparoscopy; Gastric Restrictive Procedure For Morbid Obesity
| 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 | 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
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CPT 00797
5 of 25 sample ratesHigher to lower in this preview
University Anesthesia Medical Group
$128.69Published rateNicholas Kalekas
$86.00Published rateRaymond Chang
$67.09Published rateBetty Lee-Hoang
Anesthesia Care Associates Medical Group, Inc.
$54.00Published rateTrung Nguyen
Trung X Nguyen Md Inc
$38.00Published rate
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See a sample payer proposalCPT 00797 vs. Other Anesthesia for Procedures on the Upper Abdomen Codes
The CPT 00797 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 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). |
| 00792-CPT | Moderate | Anesthesia For Liver Surgery, Anesthesia Services For Liver Surgery. Procedures Can Include Removing A Sample Of Tissue For Testing (Biopsy) Management Of Bleeding Or Partial Removal Of The Organ. |
| 00796-CPT | Moderate | Anes Iper Upr Abd Lvr Trnspl, Anesthesia For Intraperitoneal Procedures In Upper Abdomen Including Laparoscopy; Liver Transplant (Recipient) |
| 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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