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See a sample rate comparisonHealthcare 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 Lower Abdomen |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None P3 - A patient with severe systemic disease AA - Anesthesia by anesthesiologist |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 00800 |
| Medicaid Fee Schedule | View Medicaid rates for 00800 |
National average anesthesia conversion factor for CPT 00800 by major payers:

$57.10

$55.74

$56.33

$54.24
Choose a payer to see a sample of rates for CPT 00800.
Faculty Physicians And Surgeons Of Llusm
Blue Eagle Anesthesia Inc A Professional Corporation
Eisenhower Medical Center
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 00800 vs. Other Anesthesia for Procedures on the Lower Abdomen Codes
The CPT 00800 code is part of the Anesthesia services used for Anesthesia for Procedures on the Lower 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 00800 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 |
|---|---|---|
| 00800-CPT | Low | Anesthe For Procs On Lower Anterio Abdomi Wall; Not Otherw, Anesthesia For Procedures On Lower Anterior Abdominal Wall; Not Otherw |
| 00802-CPT | Moderate | Anesthesia Abdomen Shaping, Anesthesia Services For Surgery To Remove Excess Skin And Reconstruct The Lower Portion Of The Abdominal Wall (Abdominal Apron). |
| 00811-CPT | Low | Anesthesia For Lower Intestina, Anesthesia For Lower Intestinal Endoscopic Procedures Endoscope Introduced Distal To Duodenum Not Otherwise Specified Nterpretation And Report Tery Disease Data Preparation And Transmission A |
| 00812-CPT | Low | Anesthesia For Lower Intestina, Anesthesia For Lower Intestinal Endoscopic Procedures Endoscope Introduced Distal To Duodenum Screening Colonoscopy Nterpretation And Report Tery Disease Data Preparation And Transmission A |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00800. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00800 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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