CPT 00918 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 • 21 - Inpatient Hospital • 24 - Ambulatory Surgical Center |
| Common Modifiers | • None • P3 - A patient with severe systemic disease • AA - Anesthesia by anesthesiologist |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00918 |
National average anesthesia conversion factor for CPT 00918 by major payers:
$57.40
$55.76
$56.23
$54.41
| 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 00918 | ||||||
United | 00918 | $67.00 | 1013334143 - TOBECHI OKORONKWO | 454127530 | CA | Anesthesiology Physician (207L00000X) |
United | 00918 | $69.00 | 1790731313 - ORRIN AILLONI-CHARAS | 680304987 - (CA) NORTHERN CALIFORNIA ANESTHESIA PHYSICIANS, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00918 | $55.00 | 1386900157 - RON BARAK | 237064656 - HEALING THE SOUL | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00918 | $50.00 | 1861635278 - ANDREW AUNG | 200769441 - (CA) VALENCIA ANESTHESIA MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00918 | $35.00 | 1295733657 - ROBERT ROGERS | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00918 | $70.00 | 1801390109 - JONATHAN KIM | 760221050 | CA | Anesthesiology Physician (207L00000X) |
United | 00918 | $121.22 | 1285618157 - DANIEL COLE | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00918 | $38.00 | 1124479084 - BRYAN E CHAN MD INC | 812703255 - (CA) BRYAN E CHAN MD INC | CA | Anesthesiology Physician (207L00000X) |
United | 00918 | $117.22 | 1851378392 - SCOTT ENGWALL | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 00918 | $121.22 | 1336402320 - LOUIS SADDIC | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00918 | $78.00 | 1700381209 - MOHAMMAD SAMIMI | 954656412 - (CA) PACIFIC VALLEY MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00918 | $135.50 | 1629631130 - MAXWILL POMERANTZ | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00918 | $56.00 | 1952316796 - GERALD SHERMER | 203282051 | CA | Anesthesiology Physician (207L00000X) |
United | 00918 | $77.18 | 1578067823 - JENNIFER YOO | 953777340 - CHILDRENS HOSPITAL LOS ANGELES MEDICAL GROUP INC | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00918 | $75.00 | 1629034806 - JONATHAN CLARKE | 943192738 - (CA) CHILDRENS ANESTHESIA MEDICAL GROUP, INC. | 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 00918 vs. Other Anesthesia for Procedures on the Perineum Codes
The CPT 00918 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 00918 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 |
|---|---|---|
| 00910-CPT | Low | Anes Transurethral Inc Urethrocystoscopy |
| 00914-CPT | Moderate | Anes Transurethral; Resection Prostate |
| 00916-CPT | Moderate | Anes Transurethral; Post Resection Bleed |
| 00918-CPT | Moderate | Anesthesia For Transurethral Procedures (Including Urethrocystoscopy); With Fragmentation, Manipulation And/Or Removal Of Ureteral Calculus |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00918. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00918 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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