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 • 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 |
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 |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 00797 | ||||||
United | 00797 | $58.00 | 1295765196 - GEORGE ULMA | 911336707 - THE ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00797 | $65.00 | 1720099823 - GARY GONSALVES | 330636378 - (CA) ANESTHESIA CONSULTANTS OF CALIFORNIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $62.00 | 1477666105 - BOCK LEE | 824555570 - (CA) AXIOM ANESTHESIA GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $121.22 | 1386104875 - KEVIN YOUSSEFZADEH | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $86.00 | 1417146945 - JACQUES NEELANKAVIL | 953812774 | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $67.09 | 1821654468 - RAYMOND CHANG | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $38.00 | 1316018765 - TRUNG NGUYEN | 330930850 - (CA) TRUNG X NGUYEN MD INC | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $66.00 | 1285690867 - SUNDEEP TUMBER | 362193608 - SHRINERS HOSPITALS FOR CHILDREN | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $38.00 | 1841624582 - TOBIAS MOELLER-BERTRAM,MD CORPORATION | 463095558 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00797 | $65.00 | 1669673687 - HARVINDER RAMSINGH | 472040579 | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $121.22 | 1144425711 - ANAHAT DHILLON | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $52.00 | 1750398624 - CHANG RHEE | 463842055 - (CA) HP ANESTHESIA INC | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $64.15 | 1902283443 - THOMAS ONYIA | 330777545 - (CA) MISSION VIEJO ANESTHESIA CONSULTANTS, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $121.22 | 1194187393 - ANDREW WU | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00797 | $84.66 | 1396847711 - LEI WANG | 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 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 | Anes Hernia Rep Up Abd; Lumb/Vent/ Wound |
| 00754-CPT | Moderate | Anes Hernia Rep Up Abd; Omphacele |
| 00790-CPT | Moderate | Anes Intraperitoneal Inc Shunts; Nos |
| 00797-CPT | Moderate | 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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