CPT 00948 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 • P2 - A patient with mild systemic disease |
| Complexity Level | Low |
National average anesthesia conversion factor for CPT 00948 by major payers:
$57.28
$55.71
$56.60
$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 00948 | ||||||
United | 00948 | $69.62 | 1467661272 - MICHAEL BOTTROS | 954540991 - USC CARE MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 00948 | $64.00 | 1174966717 - KEITH GRAY | 251458150 - (PA) KEYSTONE ANESTHESIA CONSULTANTS LTD | CA | Anesthesiology Physician (207L00000X) |
United | 00948 | $97.00 | 1780984781 - VAHAN VARTANIAN | 812397142 | CA | Anesthesiology Physician (207L00000X) |
United | 00948 | $65.00 | 1285818179 - LAURA SIMONS | 770465765 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00948 | $55.00 | 1598154486 - ZOE HA | 953942828 - (CA) PIH HEALTH PHYSICIANS | CA | Anesthesiology Physician (207L00000X) |
United | 00948 | $61.00 | 1508253444 - ANDREW HAN | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00948 | $84.66 | 1558776542 - CHRISTOPHER WALSH | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00948 | $56.00 | 1437397122 - ADAM WONG MD INC | 10920538 - (CA) ADAM WONG, MD, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00948 | $57.50 | 1932141488 - WENDY REN | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00948 | $52.50 | 1477655306 - SABINE MELLINGER | 953777340 - CHILDRENS HOSPITAL LOS ANGELES MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 00948 | $99.00 | 1013411917 - LEO LI | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00948 | $60.56 | 1952322729 - JOSEPH FLUENCE | 273208164 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00948 | $61.00 | 1932594165 - JUSTIN LIBAW | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00948 | $99.00 | 1992740641 - VICTOR XIA | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00948 | $91.75 | 1790793347 - PAUL PHELPS | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | 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 00948 vs. Other Anesthesia for Procedures on the Perineum Codes
The CPT 00948 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 00948 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 |
|---|---|---|
| 00840-CPT | Moderate | Anes Intraperitoneal Low Abd; Nos |
| 00936-CPT | Moderate | Anesthesia For Procedures On Male Genitalia (Including Open Urethral Procedures); Radical Amputation Of Penis With Bilateral Inguinal And Iliac Lymphadenectomy |
| 00944-CPT | Moderate | Anes Vaginal; Vaginal Hysterectomy |
| 00948-CPT | Low | Anes Vaginal; Cervical Cerclage |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00948. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00948 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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