CPT 00851 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 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None QZ - CRNA service; without medical direction by a physician AA - Anesthesia by anesthesiologist |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00851 |
National average anesthesia conversion factor for CPT 00851 by major payers:
$57.86
$55.82
$56.72
$54.58
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 00851 | $65.00 | 1104169259 - TIFFANY CHENG | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $61.00 | 1366707184 - TINA DONG | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $64.00 | 1619471679 - SHAGUN MOHAN | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $50.00 | 1609834167 - JOSEPH GRIM | 1609834167 - (CA) JOSEPH GRIM | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $71.00 | 1366755621 - MARGARET HOCKETT | 850812156 | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $84.66 | 1851302053 - CANDACE CHAN | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $63.00 | 1932425584 - WAYLAN WONG | 811757088 - (NV) RED ROCK ANESTHESIA CONSULTANTS LLC | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $99.00 | 1104067248 - EMILY METHANGKOOL | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $52.00 | 1912935701 - BRADFORD THUE | 475031006 | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $55.50 | 1043338296 - JANE AHN | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00851 | $61.00 | 1982863536 - JACK BAIRAMIAN | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $58.00 | 1790977874 - GURPREET JOHAL | 464316329 | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $60.00 | 1356910053 - EL CAMINO ANESTHESIA | 871221902 - (CA) EL CAMINO ANESTHESIA | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $117.22 | 1578604328 - TRUNG VU | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00851 | $55.00 | 1265938724 - TOSHA BECERRA SONGOLO | 237064656 - HEALING THE SOUL | 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 00851 vs. Other Anesthesia Codes
The CPT 00851 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 00851 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. |
| 00851-CPT | Moderate | Anesthesia Sterilization, Anesthesia Services For Surgery To Seal The Fallopian Tubes (Tubal Ligation Or Sterilization) Or Other Lower Abdominal Procedure. |
| 00860-CPT | Moderate | Anesthesia Abdominal Surgery, Anesthesia Services For A Procedure Involving A Structure Accessible Through The Lower Abdomen Such As The Bladder Urinary Tract And Adrenal Glands. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00851. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00851 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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