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See a sample rate comparisonCPT 00952 Fee Schedule
Last Verified: October 2026
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.
Anesthesia Of Female Genitals, Anesthesia Services For A Procedure Involving A Womans Genitals: Labia Vulva Vagina Cervix Or Uterus. Examples Include Scope-Assisted Exams Taking A Tissue Sample For Testing (Biopsy) Microscopic Imaging And Minor Surgery.
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Perineum |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | None AA - Anesthesia by anesthesiologist QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 00952 |
National average anesthesia conversion factor for CPT 00952 by major payers:
$45.87
$54.11
$55.82
$55.39
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CPT 00952
5 of 25 sample ratesHigher to lower in this preview
Noel Chun
$121.22Published rateTony Hu
Faculty Physicians And Surgeons Of Llusm
$91.75Published rateJoelle Takahashi
$73.00Published rateColby Tanner
$57.50Published rateJeffery Peak
$49.50Published rate
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See a sample payer proposalCPT 00952 vs. Other Anesthesia for Procedures on the Perineum Codes
The CPT 00952 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 00952 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 |
|---|---|---|
| 00944-CPT | Moderate | Anesth Vaginal Hysterectomy, Anesthesia For Vaginal Procedures Including Biopsy Of Labia Vagina Cervix Or Endometrium Vaginal Hysterectomy |
| 00948-CPT | Low | Anesthesia Cervix Procedure, Anesthesia Services For A Procedure To Close The Cervix With Stitches (Cerclage). The Procedure May Be Done To Avoid Miscarriage Or Premature Childbirth. |
| 00950-CPT | Moderate | Anesthesia Of Female Genitals, Anesthesia Services For A Procedure Involving A Womans Genitals: Labia Vulva Vagina Cervix Or Uterus. Examples Include Scope-Assisted Exams Taking A Tissue Sample For Testing (Biopsy) Microscopic Imaging And Minor Surgery. |
| 00952-CPT | Low | Anesthesia Of Female Genitals, Anesthesia Services For A Procedure Involving A Womans Genitals: Labia Vulva Vagina Cervix Or Uterus. Examples Include Scope-Assisted Exams Taking A Tissue Sample For Testing (Biopsy) Microscopic Imaging And Minor Surgery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00952. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00952 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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