CPT 00921 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 for Procedures on the Perineum Anesthesia |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None AA - Anesthesia by anesthesiologist QS - Monitored anesthesia care service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 00921 |
National average anesthesia conversion factor for CPT 00921 by major payers:
$45.84
$54.10
$55.28
$22.12
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 00921 | $65.00 | 1356723761 - NICHOLAS GREGORY | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $52.50 | 1023338696 - REBECCA MARGOLIS | 953777340 - CHILDRENS HOSPITAL LOS ANGELES MEDICAL GROUP INC | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00921 | $42.00 | 1679559637 - CORRY KUCIK | 910843135 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00921 | $63.15 | 1295984078 - MAHFUZUL MAJUMDAR | 850105601 - PRESBYTERIAN HEALTHCARE SERVICES | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $62.00 | 1306038476 - SUSIE CHO | 824555570 - (CA) AXIOM ANESTHESIA GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $65.00 | 1407140080 - DANH DO | 351904143 - (IN) NORTHSIDE ANESTHESIA SERVICES, LLC | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $52.00 | 1407103906 - SHABNAM MOSS | 271876899 | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $135.50 | 1295723708 - MARK WITTMAN | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00921 | $60.00 | 1548791577 - JASON HUNG | 742932237 - (TX) COMMUNITY MEDICINE ASSOCIATES | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $61.00 | 1700842119 - JACQUELINE LEUNG | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $78.00 | 1982921862 - SEKSAN SREPHICHIT | 954656412 - (CA) PACIFIC VALLEY MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $99.00 | 1437541828 - BENJAMIN CHU | 954377219 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00921 | $65.69 | 1366459679 - STEVEN THORUP | 911939739 - FRANCISCAN MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $58.00 | 1366636862 - HUONG LE | 464316329 | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $128.49 | 1659726404 - SUJANA DONTUKURTHY | 571004971 - PRISMA HEALTH-UNIVERSITY MEDICAL GROUP | CA | Pediatric Anesthesiology Physician (207LP3000X) |
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 00921 vs. Other Anesthesia Codes
The CPT 00921 code is part of the Anesthesia for Procedures on the Perineum services used for Anesthesia. 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 00921 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 |
|---|---|---|
| 00920-CPT | Low | Anesthesia For Male Genitals, Anesthesia Services For Procedures Involving A Mans Genitals Such As Vasectomy Or Procedures Of The Urethra Or Seminal Vesicles. |
| 00921-CPT | Low | Anesthesia For Male Genitals, Anesthesia Services For Procedures Involving A Mans Genitals Such As Vasectomy Or Procedures Of The Urethra Or Seminal Vesicles. |
| 00922-CPT | Low | Anesthesia For Male Genitals, Anesthesia Services For Procedures Involving A Mans Genitals Such As Vasectomy Or Procedures Of The Urethra Or Seminal Vesicles. |
| 00924-CPT | Low | Anesthesia Testicle Surgery, Anesthesia Services For Surgery Involving The Testicles. Example Procedures Include Removal Repair Or Reconstruction Of The Testicles. Sometimes A Procedure Will Involve Removing Nearby Lymph Glands. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00921. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00921 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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