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See a sample rate comparisonCPT 00820 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 Lower Posterior Abdominal Wall
| 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 QX - Qualified nonphysician anesthetist service: With medical direction by a physician AA - Anesthesia by anesthesiologist |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00820 |
National average anesthesia conversion factor for CPT 00820 by major payers:
$57.71
$55.72
$57.02
$54.41
Compare published rates across providers.
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CPT 00820
5 of 25 sample ratesHigher to lower in this preview
Christina Ma
$121.22Published rateJohn Donovan
Cep America
$83.00Published rateLauren Walden
$60.00Published rateCrystal Tan
$55.50Published rateNan Zhu
Cedars-Sinai Medical Care Foundation
$35.00Published rate
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See a sample payer proposalCPT 00820 vs. Other Anesthesia for Procedures on the Lower Abdomen Codes
The CPT 00820 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 00820 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 |
|---|---|---|
| 00820-CPT | Moderate | Anes Lower Posterior Abdominal Wall |
| 00830-CPT | Low | 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). |
| 00834-CPT | Moderate | Anesthesia For Hernia Repair, Anesthesia Services For An Infant Related To Surgery To Repair A Hernia. Hernias Occur When Organs Or Other Structures Bulge Through Containing Tissue Into Other Areas. Stomach Hernias (Into Upper Abdomen) Are Common In Babies. |
| 00862-CPT | Moderate | Anesthesia For Kidney Surgery, Anesthesia Services Provided For All Types Of Surgery On The Kidneys Including Procedures Involving The Upper Part Of The Urinary Tract Between The Bladder And The Kidneys. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00820. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00820 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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