CPT 00902 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 Perineum |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 24 - Ambulatory Surgical Center • 21 - Inpatient Hospital |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00902 |
National average anesthesia conversion factor for CPT 00902 by major payers:
$57.49
$55.76
$56.02
$54.39
| 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 00902 | ||||||
United | 00902 | $60.00 | 1609379387 - WILLIAM TAN | 842910266 - (CA) PROFESSIONAL ANESTHESIA ASSOCIATES PC | CA | Anesthesiology Physician (207L00000X) |
United | 00902 | $61.00 | 1568880607 - JENNIFER WOODBURY | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00902 | $54.00 | 1366549602 - DANIEL SWANGARD | 943158784 - (CA) ANESTHESIA CARE ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00902 | $99.00 | 1346582749 - NADER TONDRAVI | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00902 | $86.00 | 1194187393 - ANDREW WU | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00902 | $65.69 | 1669631040 - TODD MILLER | 990327601 - THE ANESTHESIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00902 | $100.00 | 1144273418 - CRYSTAL KATZ | 811324691 | CA | Anesthesiology Physician (207L00000X) |
United | 00902 | $99.00 | 1821331299 - SAMANTHA WONG | 954395492 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00902 | $128.69 | 1558319426 - MONA GOLDFINE | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00902 | $65.00 | 1467776229 - ADAM LAYTIN | 520595110 - JOHNS HOPKINS UNIVERSITY | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00902 | $121.22 | 1538237854 - CHRISTINE MYO BUI | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00902 | $61.00 | 1942336615 - AMY LU | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00902 | $67.09 | 1265810055 - SARA ABU-TABIKH | 943281657 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00902 | $113.00 | 1265486856 - PRATAP KURRA | 680273974 - SUTTER VALLEY MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00902 | $69.00 | 1447414727 - KEI TOGASHI | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | 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 00902 vs. Other Anesthesia for Procedures on the Perineum Codes
The CPT 00902 code is part of the Anesthesia services used for Anesthesia for Procedures on the Perineum. 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 00902 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 |
|---|---|---|
| 00836-CPT | Moderate | Anesthesia For Hernia Repairs In The Lower Abdomen Not Otherwise Specified, Infants Younger Than 37 Weeks Gestational Age At Birth And Younger Than 50 Weeks Gestational Age At Time Of Surgery |
| 00902-CPT | Moderate | Anesthesia For Procedures On Perineal Integumentary System; Anorectal Procedure |
| 00904-CPT | Moderate | Anes For Proc On Perineal Integumentary System (Including Biopsy Of Male Genital System); Radical Perineal Procedure |
| 00906-CPT | Low | Anes Perineal Integ; Vulvectomy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00902. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00902 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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