CPT 00936 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 | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital • 24 - Ambulatory Surgical Center |
| Common Modifiers | • None • QZ - CRNA service; without medical direction by a physician • QY - Medical direction of one CRNA by an anesthesiologist • QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 00936 by major payers:
$58.14
$55.62
$57.09
$54.91
| 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 00936 | ||||||
United | 00936 | $99.00 | 1134681992 - JONATHAN DAHAN | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00936 | $121.22 | 1194091017 - CHRISTINE NGUYEN-BUCKLEY | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00936 | $85.00 | 1861738353 - MICHELLE HOMYAK | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CA | Anesthesiology Physician (207L00000X) |
United | 00936 | $52.50 | 1023338696 - REBECCA MARGOLIS | 953777340 - CHILDRENS HOSPITAL LOS ANGELES MEDICAL GROUP INC | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00936 | $128.69 | 1629277967 - PEDRAM ALESHI | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00936 | $58.52 | 1790706000 - BRUCE HIRSHMAN | 941639901 - (CA) UKIAH ADVENTIST HOSPITAL | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00936 | $78.00 | 1831113836 - JOEL HUTCHINSON | 954656412 - (CA) PACIFIC VALLEY MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00936 | $60.00 | 1003994823 - LI TSANG | 680334324 | CA | Anesthesiology Physician (207L00000X) |
United | 00936 | $86.00 | 1659990737 - BENJAMIN CARNES | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00936 | $70.00 | 1669614079 - TORIJAUN DALLAS | 760221050 | CA | Anesthesiology Physician (207L00000X) |
United | 00936 | $57.00 | 1316931835 - WILBARGER COUNTY HOSPITAL DISTRICT, WILBARGER GENERAL HOSPITAL | 756047638 - (TX) WILBARGER GENERAL HOSPITAL EMPLOYEE BENEFIT PLAN | TX | General Acute Care Hospital (282N00000X) |
United | 00936 | $72.00 | 1083109797 - AUSTIN NGUYEN | 471364668 - (CA) GOLDEN STATE PROVIDERS A MEDICAL CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 00936 | $38.00 | 1154357010 - JEFFREY GLASER | 954892103 - (CA) JEFFREY B. GLASER, M.D., INC. | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00936 | $113.00 | 1033351382 - FRANCIS WONG | 941156581 - SUTTER BAY MEDICAL FOUNDATION | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00936 | $53.00 | 1124350657 - CO TRUONG | 464150987 - (CA) VALLEY CHILDRENS 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 00936 vs. Other Anesthesia for Procedures on the Perineum Codes
The CPT 00936 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 00936 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 |
|---|---|---|
| 00851-CPT | Moderate | Anes, Intraperitoneal Procedures In Lower Abdomen Including Laparoscopy; Tubal Ligation/Transection |
| 00934-CPT | Moderate | Anesthesia For Procedures On Male Genitalia (Including Open Urethral Procedures); Radical Amputation Of Penis With Bilateral Inguinal Lymphadenectomy |
| 00936-CPT | Moderate | Anesthesia For Procedures On Male Genitalia (Including Open Urethral Procedures); Radical Amputation Of Penis With Bilateral Inguinal And Iliac Lymphadenectomy |
| 00938-CPT | Low | Anesthesia For Procedures On Male Genitalia (Including Open Urethral Procedures); Insertion Of Penile Prosthesis (Perineal Approach) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00936. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00936 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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