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See a sample rate comparisonCPT 00873 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 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).
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Lower Abdomen |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| 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 00873 |
National average anesthesia conversion factor for CPT 00873 by major payers:
$58.37
$55.74
$56.41
$54.41
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CPT 00873
5 of 25 sample ratesHigher to lower in this preview
Joyce Hsiao
Faculty Physicians And Surgeons Of Llusm
$135.50Published rateNatalie Moreland
$99.00Published rateWon Kim
First Choice Physician Partners
$82.00Published rateAndrew Gray
$61.00Published rateCharles Neal
Charles K Neal Md Inc
$45.00Published rate
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See a sample payer proposalCPT 00873 vs. Other Anesthesia for Procedures on the Lower Abdomen Codes
The CPT 00873 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 00873 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). |
| 00926-CPT | Low | Anesthesia Testicle Surgery, Anesthesia Services For Surgery Involving The Testicles. Example Procedures Include Removal Repair Or Reconstruction Of The Testicles. Sometimes A Procedure Will Involve Removing Nearby Lymph Glands. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00873. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00873 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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