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See a sample rate comparisonCPT 00870 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.
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.
| 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 P3 - A patient with severe systemic disease AA - Anesthesia by anesthesiologist |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00870 |
National average anesthesia conversion factor for CPT 00870 by major payers:
$57.79
$55.72
$57.06
$54.41
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CPT 00870
5 of 25 sample ratesHigher to lower in this preview
Patricia Roth
$128.69Published rateJames Spitler
$91.75Published rateAlimorad Djalali
$70.00Published rateArpit Patel
Southern Monterey County Memorial Hospital
$52.00Published rateDaniel Chien
Cedars-Sinai Medical Care Foundation
$35.00Published rate
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See a sample payer proposalCPT 00870 vs. Other Anesthesia for Procedures on the Lower Abdomen Codes
The CPT 00870 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 00870 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 |
|---|---|---|
| 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. |
| 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 00870. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00870 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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