CPT 00872 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 24 - Ambulatory Surgical Center |
| Common Modifiers | None AA - Anesthesia by anesthesiologist QZ - CRNA service; without medical direction by a physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00872 |
National average anesthesia conversion factor for CPT 00872 by major payers:
$55.36
$55.58
$57.07
$54.75
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 00872 | $50.00 | 1184067068 - KENNETH NEFF | 273068347 | CA | Anesthesiology Physician (207L00000X) |
United | 00872 | $61.00 | 1104647965 - ELIZABETH COLE | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00872 | $65.00 | 1558705392 - LAURA MAY | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 00872 | $121.22 | 1396786091 - PARISA PARTOWNAVID | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00872 | $84.66 | 1609805209 - YAOHUI LI | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00872 | $55.00 | 1871100800 - NADER RONAGHI MD CORP. | 842684513 - (CA) NADER RONAGHI MD CORP | CA | Anesthesiology Physician (207L00000X) |
United | 00872 | $67.09 | 1457437253 - MARIO DE PINTO | 943281660 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00872 | $52.00 | 1003058777 - TOUFAN RAZI, MEDICAL INCORPORATION | 264265607 - (CA) TOUFAN RAZI MEDICAL INCORPORATED DBA PACIFIC PAIN INSTITUTE | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00872 | $128.69 | 1174719017 - NICHOLAS RIEGELS | 943281660 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00872 | $65.00 | 1275913766 - BENJAMIN DREW | 330636378 - (CA) ANESTHESIA CONSULTANTS OF CALIFORNIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00872 | $121.22 | 1083000822 - MYROSLAV FIGURA | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00872 | $86.00 | 1851786370 - SOPHIA POORSATTAR | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00872 | $99.00 | 1245659721 - TINA YU | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00872 | $61.00 | 1447937388 - STEPHEN HOWEY | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00872 | $57.50 | 1326281619 - JOHN SHIN | 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 00872 vs. Other Anesthesia Codes
The CPT 00872 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 00872 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 |
|---|---|---|
| 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. |
| 00872-CPT | Moderate | Anesthesia For Kidney Stone, Anesthesia Services For A Procedure To Remove Kidney Stones. Common Procedures Include Scope-Assisted Manual Removal And Use Of Sound Waves To Break Up The Stones (Lithotripsy). |
| 00873-CPT | Moderate | Anesthesia For Kidney Stone, Anesthesia Services For A Procedure To Remove Kidney Stones. Common Procedures Include Scope-Assisted Manual Removal And Use Of Sound Waves To Break Up The Stones (Lithotripsy). |
| 00920-CPT | Low | Anesthesia For Male Genitals, Anesthesia Services For Procedures Involving A Mans Genitals Such As Vasectomy Or Procedures Of The Urethra Or Seminal Vesicles. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00872. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00872 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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