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See a sample rate comparisonCPT 00918 Fee Schedule
Last Verified: October 2026
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.
Anesthesia For Kidney Stone, Anesthesia Services For A Procedure To Remove Kidney Stones. Common Procedures Include Scope-Assisted Manual Removal And Use Of Sound Waves To Break Up The Stones (Lithotripsy).
| 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
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CPT 00918
5 of 25 sample ratesHigher to lower in this preview
Maxwill Pomerantz
Faculty Physicians And Surgeons Of Llusm
$135.50Published rateLouis Saddic
$99.00Published rateSophia Turkmani-Bazzi
$70.00Published rateGerald Shermer
$56.00Published rateCalvin Johnson
Cedars-Sinai Medical Care Foundation
$35.00Published rate
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See a sample payer proposalCPT 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 | 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. |
| 00914-CPT | Moderate | Anesthesia Prostate Surgery, Anesthesia Services For Surgery To Remove The Prostate Gland. The Procedure May Include Removal Of Related Tissue. |
| 00916-CPT | Moderate | 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. |
| 00918-CPT | Moderate | Anesthesia For Kidney Stone, Anesthesia Services For A Procedure To Remove Kidney Stones. Common Procedures Include Scope-Assisted Manual Removal And Use Of Sound Waves To Break Up The Stones (Lithotripsy). |
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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