CPT 00924 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 • AA - Anesthesia by anesthesiologist • P1 - A normal healthy patient |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 00924 |
National average anesthesia conversion factor for CPT 00924 by major payers:
$57.37
$55.62
$57.00
$54.24
| 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 00924 | ||||||
United | 00924 | $69.62 | 1578508362 - JOSHUA TOBIN | 954540991 - USC CARE MEDICAL GROUP INC | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00924 | $58.00 | 1346290012 - ALAR SAAREMETS | 200723016 - (CA) ALAR SAAREMETS MD INC | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $75.00 | 1164953543 - MICHAEL KANG | 943158784 - (CA) ANESTHESIA CARE ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $128.69 | 1912535410 - JOSHUA RAMOS | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $44.00 | 1457388225 - KEVIN SMITH | 205023370 - (CA) INTEGRATED PAIN SPECIALISTS OF SOUTHERN CALIFORNIA | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00924 | $54.00 | 1962656058 - CAROLINE BUHAY | 943168453 | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $63.00 | 1215391164 - ADAM DZIUBA | 943315896 - (CA) ORTHOPAEDIC SPORTS SPECIALISTS | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $38.00 | 1083926232 - PHILIP KHOURY | 821389277 - (CA) PHILIP G KHOURY, D.O., INC. | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00924 | $56.00 | 1275720682 - ELIZABETH BALES | 273569547 - (CA) LIZ BALES MD A PROFESSIONAL CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $70.00 | 1497044739 - ANNA SHAPIRO | 260089066 | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $84.66 | 1891845541 - YOLANDA MARZAN | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $57.00 | 1730111253 - SWAROOP RANI | 346004382 | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $128.69 | 1295178564 - STEPHANIE LIM | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $102.00 | 1952017113 - SYNERGY ANESTHESIA CT PLLC | 921303042 - (CA) SYNERGY ANESTHESIA CT PLLC | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $128.69 | 1417985334 - JAMES BRANDES | 943281657 | 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 00924 vs. Other Anesthesia for Procedures on the Perineum Codes
The CPT 00924 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 00924 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 |
|---|---|---|
| 00872-CPT | Moderate | Anes Lithotripsy Shock Wave; W Water Bat |
| 00920-CPT | Low | Anes Male External Genitalia; Nos |
| 00921-CPT | Low | Anesthesia For Procedures On Male Genitalia (Including Open Urethral Procedures); Vasectomy, Unilateral/Bilateral |
| 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 00924. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00924 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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