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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 P3 - A patient with severe systemic disease AA - Anesthesia by anesthesiologist |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00912 |
National average anesthesia conversion factor for CPT 00912 by major payers:

$57.56

$55.74

$56.38

$54.41
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Sandra Yee Md PC
California Eye Clinic
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Rate Benchmarking
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See a sample payer proposalCPT 00912 vs. Other Anesthesia for Procedures on the Perineum Codes
The CPT 00912 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 00912 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 |
|---|---|---|
| 00908-CPT | Moderate | Anesthesia Prostate Surgery, Anesthesia Services For Surgery To Remove The Prostate Gland. The Procedure May Include Removal Of Related Tissue. |
| 00910-CPT | Low | Anesthesia Bladder Procedure, Anesthesia Services For A Bladder Or Urinary Tract Procedure. Examples Include A Scope-Assisted Bladder Exam (Urethrocystoscopy) And Treatment Of Bleeding In The Urinary Tract. |
| 00912-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. |
| 00914-CPT | Moderate | Anesthesia Prostate Surgery, Anesthesia Services For Surgery To Remove The Prostate Gland. The Procedure May Include Removal Of Related Tissue. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00912. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00912 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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