CPT 00846 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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None P3 - A patient with severe systemic disease QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00846 |
National average anesthesia conversion factor for CPT 00846 by major payers:
$58.00
$55.83
$56.90
$54.91
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 00846 | $64.00 | 1447781901 - JASON THAI | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 00846 | $70.00 | 1669935045 - ALEXANDRA KRISTIN BOR | 260089066 | CA | Anesthesiology Physician (207L00000X) |
United | 00846 | $128.69 | 1821592809 - ELISE DELAGNES | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00846 | $69.62 | 1366977258 - ROXANNE FAVIS | 954540991 - USC CARE MEDICAL GROUP INC | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00846 | $86.00 | 1659990737 - BENJAMIN CARNES | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00846 | $81.44 | 1033278635 - PETER CHENG | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 00846 | $61.00 | 1811554389 - BALKARN THIND | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00846 | $55.50 | 1316409022 - DANH LE | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 00846 | $99.00 | 1679598098 - AMAN MAHAJAN | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00846 | $99.00 | 1104868710 - MICHAEL SOPHER | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00846 | $51.00 | 1942256722 - FREDDIE MCCLENDON | 881191558 - (CA) CORE ANESTHESIA PROVIDER SERVICES PC | CA | Anesthesiology Physician (207L00000X) |
United | 00846 | $99.00 | 1427837665 - ALINE TOUKHTARIAN | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00846 | $60.00 | 1679678502 - CINTHIA TIRADO | 680334324 | CA | Anesthesiology Physician (207L00000X) |
United | 00846 | $92.00 | 1467408302 - EDWARD EISLER | 133544120 - CAREMOUNT MEDICAL, P.C. | CA | Anesthesiology Physician (207L00000X) |
United | 00846 | $121.22 | 1487040945 - ANDREA POON | 954395492 | 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 00846 vs. Other Anesthesia Codes
The CPT 00846 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 00846 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 |
|---|---|---|
| 00840-CPT | Moderate | Anesthesia Abdomen Procedure, Anesthesia Services For A Procedure Involving Any Structure On The Interior Of The Abdomen. This Includes Scope-Assisted (Laparoscope) Procedures. |
| 00842-CPT | Low | Anesthesia For Amniocentesis, Anesthesia Services For Amniocentesis A Procedure That Removes A Small Amount Of Amniotic Fluid For Testing During Pregnancy. |
| 00844-CPT | Moderate | Anes Iper Px Abdmnprnl Rescj, Anesthesia For Intraperitoneal Procedures In Lower Abdomen Including Laparoscopy; Abdominoperineal Resection |
| 00846-CPT | Moderate | Anesthesia For Uterus Removal, Anesthesia Services For Surgical Removal Of The Uterus (Hysterectomy) Through The Abdomen Including Removal Of The Ovaries And Fallopian Tubes (Radical Hysterectomy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00846. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00846 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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