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 |
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 | $57.50 | 1558999219 - JARED KATZ | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00902 | $36.72 | 1023375821 - ADMIRE KUCHENA | 341996544 | CA | Anesthesiology Physician (207L00000X) |
United | 00902 | $65.00 | 1124447115 - CHRISTINA NGUYEN | 330500394 - (CA) CALIFORNIA ANESTHESIA ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00902 | $61.00 | 1568880607 - JENNIFER WOODBURY | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00902 | $54.00 | 1164479309 - KONSTANTIN OVODOV | 943158784 - (CA) ANESTHESIA CARE ASSOCIATES MEDICAL GROUP, INC. | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00902 | $55.50 | 1457649865 - MICHAEL SCHWARTZ | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 00902 | $71.19 | 1396900320 - ALEN ZEHNALY | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00902 | $49.50 | 1588769194 - CEDRIC CHOAN | 431988089 | CA | Anesthesiology Physician (207L00000X) |
United | 00902 | $128.69 | 1285365478 - XINYI WANG | 943281663 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00902 | $113.00 | 1376901728 - BRYAN CHOW | 680273974 - SUTTER VALLEY MEDICAL FOUNDATION | 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 | $50.00 | 1609834167 - JOSEPH GRIM | 1609834167 - (CA) JOSEPH GRIM | CA | Anesthesiology Physician (207L00000X) |
United | 00902 | $52.00 | 1548371354 - KATHERINE TSAI | 475031006 | CA | Anesthesiology Physician (207L00000X) |
United | 00902 | $81.00 | 1003304833 - MINA GHOBRIAL | 237064656 - HEALING THE SOUL | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00902 | $99.00 | 1447813464 - JEANINE ELAINE NAEGLE | 954377219 | 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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