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See a sample rate comparisonCPT 00868 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 Xtrprtl Px Rnl Transpl, Anesthesia For Extraperitoneal Procedures In Lower Abdomen Including Urinary Tract; Renal Transplant (Recipient)
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Lower Abdomen |
| 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 AA - Anesthesia by anesthesiologist |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00868 |
National average anesthesia conversion factor for CPT 00868 by major payers:
$58.12
$55.88
$57.24
$55.23
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CPT 00868
5 of 25 sample ratesHigher to lower in this preview
Kurt Dittmar
$128.69Published rateRuth Fanning
$70.00Published rateChang-Hwa Mary Chen
City Of Hope Medical Foundation
$63.00Published rateGary Meurer
Coachella Valley Anesthesia A Professional Corporation
$55.00Published rateJessie Lo
Cedars-Sinai Medical Care Foundation
$35.00Published rate
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See a sample payer proposalCPT 00868 vs. Other Anesthesia for Procedures on the Lower Abdomen Codes
The CPT 00868 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 00868 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 |
|---|---|---|
| 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. |
| 00866-CPT | Moderate | Anes Xtrprt Lw Abd Adrnlctmy, Anesthesia For Extraperitoneal Procedures In Lower Abdomen Including Urinary Tract; Adrenalectomy |
| 00868-CPT | Moderate | Anes Xtrprtl Px Rnl Transpl, Anesthesia For Extraperitoneal Procedures In Lower Abdomen Including Urinary Tract; Renal Transplant (Recipient) |
| 00870-CPT | Moderate | Anesthesia Bladder Surgery, Anesthesia Services For A Surgery On The Bladder. Examples Of These Procedures Include Removal Of A Tumor Bladder Stones Or The Bladder Itself. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00868. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00868 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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