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 • 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 • QZ - CRNA service; without medical direction by a physician • AA - Anesthesia by anesthesiologist |
| Complexity Level | Moderate |
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 |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 00851 | ||||||
United | 00851 | $38.00 | 1861733982 - JAMES A NASSIRI MD INC | 260139823 - (CA) JAMES A NASSIRI MD INC | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00851 | $52.00 | 1912935701 - BRADFORD THUE | 1912935701 - (CA) BRADFORD THUE | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $25.50 | 1821588393 - MATTHEW SPALITTA | 956130458 - EISENHOWER MEDICAL CENTER | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $78.00 | 1427079318 - MEHRANGIZ MOFID | 954656412 - (CA) PACIFIC VALLEY MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $55.00 | 1518594910 - CAITLIN KROL | 237064656 - HEALING THE SOUL | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $74.80 | 1770010050 - ABID FAZAL | 582030692 - EMORY UNIVERSITY | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $84.66 | 1780608802 - BARBARA STRAWN | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $38.00 | 1053874628 - KOOROSH JOSHUA ELIHU, A PROFESSIONAL CORPORATION, THE ELIHU INSTITUTE | 364908782 - (CA) KOOROSH JOSHUA ELIHU A PROFESSIONAL CORPORATION | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00851 | $54.00 | 1962468793 - SUSAN CHENG | 943192738 - (CA) CHILDRENS ANESTHESIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $121.22 | 1720202054 - JOHN CHALABI | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $55.00 | 1205010030 - IMANUEL LERMAN | 237064656 - HEALING THE SOUL | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00851 | $83.00 | 1740501170 - ROBERT SCHUSTER | 932316816 | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $58.52 | 1356581482 - SHAHRAM BEROUKHIM | 952282647 - (CA) WHITE MEMORIAL MEDICAL CENTER | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $25.00 | 1417430026 - THOMAS BURETTA | 956130458 - EISENHOWER MEDICAL CENTER | CA | Anesthesiology Physician (207L00000X) |
United | 00851 | $67.09 | 1437646031 - PAMELA HUANG | 943281660 | 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 for Procedures on the Lower Abdomen Codes
The CPT 00851 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 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 | Anes Intraperitoneal Low Abd; Nos |
| 00842-CPT | Low | Anes Intraperitoneal Low Abd; Amniocente |
| 00851-CPT | Moderate | Anes, Intraperitoneal Procedures In Lower Abdomen Including Laparoscopy; Tubal Ligation/Transection |
| 00860-CPT | Moderate | Anes Extraperitoneal Low Abd Inc Urinary |
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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