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 |
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 | $65.00 | 1831279231 - CAROLE LIN | 770465765 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00924 | $54.00 | 1366605875 - NOAH GORDON | 943168453 | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $69.62 | 1578508362 - JOSHUA TOBIN | 954540991 - USC CARE MEDICAL GROUP INC | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00924 | $38.00 | 1619238045 - LINDSAY LOPATA | 873541436 - TALIB OMER MD PC | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $48.00 | 1598867467 - CORNELIA MUEHLHAUSER | 330472032 - (CA) IRVINE ANESTHESIA CONSULTANTS MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $52.00 | 1972638690 - STEPHEN CHU | 941502014 - SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $128.69 | 1295178564 - STEPHANIE LIM | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $84.66 | 1063436301 - RICHARD UNGER | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $51.00 | 1093808818 - GARY SCHENCK | 881191558 - (CA) CORE ANESTHESIA PROVIDER SERVICES PC | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $36.00 | 1144489592 - JORDAN NEWMARK | 364600607 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00924 | $56.00 | 1447681309 - OCM ANESTHESIA | 800927296 | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $121.22 | 1346694536 - GARY CHAN | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $99.00 | 1184666802 - MAGGY RIAD | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $83.00 | 1770019580 - HOOMAN GOLFEIZ | 471884235 - CEP AMERICA | CA | Anesthesiology Physician (207L00000X) |
United | 00924 | $70.00 | 1154625770 - AMANDA MORRIS | 260089066 | 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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