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See a sample rate comparisonHealthcare 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
Choose a payer to see a sample of rates for CPT 00902.
North Shore-Lij Anesthesiology PC
The Anesthesia Medical Group, Inc.
Cedars-Sinai Medical Care Foundation
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 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 Repair, Anesthesia Services For An Infant Related To Surgery To Repair A Hernia. Hernias Occur When Organs Or Other Structures Bulge Through Containing Tissue Into Other Areas. Stomach Hernias (Into Upper Abdomen) Are Common In Babies. |
| 00902-CPT | Moderate | Anesthesia Rectal Procedure, Anesthesia Services For A Procedure On The Anus Or Rectum. |
| 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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