CPT 00802 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 Lower Abdomen Anesthesia |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| Common Modifiers | None AA - Anesthesia by anesthesiologist QK - Medical direction of two, three or four concurrent anesthesia procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00802 |
National average anesthesia conversion factor for CPT 00802 by major payers:
$57.66
$55.74
$56.80
$54.41
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 00802 | $65.00 | 1124095062 - SHIRIN ENGINEER | 472040579 | CA | Anesthesiology Physician (207L00000X) |
United | 00802 | $56.00 | 1184688715 - SHUNMUGARAJA SUBBIAH | 934611377 | CA | Anesthesiology Physician (207L00000X) |
United | 00802 | $84.66 | 1235557497 - JOSEPH SEIF | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00802 | $86.00 | 1043771033 - STEVE KWON | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00802 | $128.69 | 1073347373 - SEBASTIAN ZEINER | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 00802 | $85.00 | 1912993155 - IGOR BRON | 391678306 - AURORA MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 00802 | $75.00 | 1174986897 - VERONICA ORR | 943158784 - (CA) ANESTHESIA CARE ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00802 | $86.00 | 1275799033 - JOEL STOCKMAN | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00802 | $53.00 | 1841217734 - JOEL PEELEN | 770385840 - (CA) NORTH COUNTY ANESTHESIA MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00802 | $121.22 | 1265796437 - JASON LEE | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00802 | $69.00 | 1700826070 - SUSAN MALONEY | 680304987 - (CA) NORTHERN CALIFORNIA ANESTHESIA PHYSICIANS, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00802 | $65.00 | 1508859398 - JOHN CHAN | 770414846 - (CA) MODESTO ANESTHESIA MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00802 | $99.52 | 1740636133 - AREN NERCISIAN | 954540991 - USC CARE MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 00802 | $52.50 | 1043319965 - JOANNA GREEN | 953777340 - CHILDRENS HOSPITAL LOS ANGELES MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 00802 | $45.00 | 1871813899 - CHRONIC PAIN MANAGEMENT CLINIC A MEDICAL CORPORATION | 272591091 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
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 00802 vs. Other Anesthesia Codes
The CPT 00802 code is part of the Anesthesia for Procedures on the Lower 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 00802 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 |
|---|---|---|
| 00702-CPT | Low | 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. |
| 00730-CPT | Moderate | Anes Upper Posterior Abdominal Wall |
| 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). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00802. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00802 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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