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 • Anesthesia for Procedures on the Perineum |
| 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 |
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 |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 00921 | ||||||
United | 00921 | $121.22 | 1710349402 - COLBY TANNER | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $128.69 | 1295178564 - STEPHANIE LIM | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $52.00 | 1063021467 - HUAYI MEDICAL PROFESSIONAL CORPORATION | 273419646 - (CA) HUAYI MEDICAL PROFESSIONAL CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $64.00 | 1447781901 - JASON THAI | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $86.00 | 1013411917 - LEO LI | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $65.00 | 1407140080 - DANH DO | 351904143 - (IN) NORTHSIDE ANESTHESIA SERVICES, LLC | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $49.50 | 1740267343 - WAFIK ABDOU | 770411079 - (CA) WAFIK A ABDOU MD INC | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $128.69 | 1235170895 - IVAN ZEITZ | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $65.00 | 1356723761 - NICHOLAS GREGORY | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $31.00 | 1114022704 - GILBERT ALMARAZ | 942994776 - (CA) OROHEALTH CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $121.22 | 1235442112 - NIRAV KAMDAR | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $65.00 | 1619003084 - JEREMY GOLDFARB | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $65.00 | 1194144758 - VIKRAM FIELDING-SINGH | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $63.00 | 1780984781 - VAHAN VARTANIAN | 364418750 - (CA) SIMI VALLEY ANESTHESIA MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00921 | $57.50 | 1326096165 - REGENTS OF THE UNIVERSITY OF CALIFORNIA, UCLA DEPT OF ANESTHESIOULOGY | 954395492 | 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 00921 vs. Other Anesthesia for Procedures on the Perineum Codes
The CPT 00921 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 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 | Anes Male External Genitalia; Nos |
| 00921-CPT | Low | Anesthesia For Procedures On Male Genitalia (Including Open Urethral Procedures); Vasectomy, Unilateral/Bilateral |
| 00922-CPT | Low | Anes Male Ext Genit; Seminal Vessels |
| 00924-CPT | Low | Anesthesia For Procedures On Male Genitalia (Including Open Urethral Procedures); Undescended Testis, Unilateral Or Bilateral |
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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