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 for Procedures on the Perineum Anesthesia |
| 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 |
|---|---|---|---|---|---|---|
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 Codes
The CPT 00924 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 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 | 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). |
| 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. |
| 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 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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