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See a sample rate comparisonCPT 4255F 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.
Duration Of General Or Neuraxi, Duration Of General Or Neuraxial Anesthesia 60 Minutes Or Longer As Documented In The Anesthesia Record (Crit) (Peri2)
| Key Fact | Detail |
|---|---|
| Service Type | Category II Codes Therapeutic, Preventive or Other Interventions |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 4255F |
National average reimbursement for CPT 4255F by major payers:
$68.78
$N/A
$3,368.00
$1.13
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CPT 4255F
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See a sample payer proposalCPT 4255F vs. Other Therapeutic, Preventive or Other Interventions Codes
The CPT 4255F code is part of the Category II Codes services used for Therapeutic, Preventive or Other Interventions. 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 4255F 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 |
|---|---|---|
| 4255F-CPT | Low | Duration Of General Or Neuraxi, Duration Of General Or Neuraxial Anesthesia 60 Minutes Or Longer As Documented In The Anesthesia Record (Crit) (Peri2) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 4255F. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 4255F 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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