CPT 0505F: Anesthesia Services for Procedural Encounter

CPT code 0505F is a CPT performance measure entry indicating anesthesia services for procedures; the code represents documentation that anesthesia was provided for a surgical or procedural encounter, typically classified under anesthesia service reporting for operative care and commonly used when recording perioperative anesthesia services in the procedural setting such as an operating room or procedural suite. Data not available in the input.

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CPT 0505F: Anesthesia Services for Procedural Encounter

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Get alerted when payer policies referencing 0505F are released or updated.

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Clinical & Coding Specifications

Clinical Context

A typical patient is an adult undergoing routine preventive care or chronic disease management during an outpatient primary care or preventive medicine visit. The encounter focuses on counseling, risk assessment, and documentation of counseling results rather than procedural or surgical intervention. The clinical workflow begins with patient check-in and vitals, followed by a focused history and assessment of preventive needs (immunizations, cancer screening, lifestyle counseling). The clinician documents time-based or counseling-based services and records the counseling content and patient understanding. Billing staff maps the documented counseling or assessment to the appropriate CPT code 0505F and attaches relevant diagnosis codes reflecting preventive counseling or screening rationale. The visit typically occurs in an office or clinic setting, with the primary provider being a family medicine, internal medicine, or preventive medicine clinician. Ancillary staff may schedule follow-up, order screening tests, or coordinate referrals based on the counseling outcome.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99213`	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	Common E/M code used for visits where counseling and preventive care are provided along with problem-focused care; may be billed in conjunction if documentation supports both.
`99401`	Preventive medicine counseling and/or risk factor reduction intervention(s) per 15 minutes (individual)	Time-based counseling code that may be reported when extended preventive counseling is delivered and documented; complements a preventive service encounter.
`99381`	Initial comprehensive preventive medicine evaluation and management of an individual, new patient; infant through 4 years	Preventive medicine initial visit code used when a comprehensive preventive evaluation is performed; `0505F` may map to specific preventive counseling elements within such visits.
`99406`	Smoking and tobacco cessation counseling visit, intermediate, greater than 3 minutes up to 10 minutes	Specific counseling code used when brief tobacco cessation counseling is provided during a preventive visit involving counseling documented under `0505F`.
`90658`	Influenza virus vaccine, split virus, 3 years and above, for intramuscular use	Common preventive service often ordered or administered during a preventive counseling visit where preventive care needs are addressed.

Related Modifiers

5 rows

Modifier	Description	When to Use
63	Modifier‑63 is appended to surgical CPT codes (20000–69990) when a procedure is performed on a neonate or infant weighing ≤ 4 kg (about 8.8 lbs). The AMA/AAPC definition specifies this use and notes…	- Use modifier -63 only for surgical procedures in the CPT 20000–69990 series performed on a neonate or infant who weighs ≤ 4 kg at the time of the procedure; it indicates increased complexity due to…
56	Modifier ‑56 indicates the reporting provider furnished only the preoperative management for a surgical procedure and did not perform the intraoperative or postoperative care. It is used in…	- Use Modifier -56 when a provider performs only the preoperative management in a split‑care situation (one physician manages preop care while a different physician performs the intraoperative…
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
73	Modifier 73 indicates a facility-level outpatient hospital or ASC procedure that was discontinued after the patient was prepared and taken to the procedure/operating room but before any anesthesia…	- When to use: Apply CPT modifier 73 on the FACILITY (outpatient hospital or ASC) claim when the patient has been fully prepared and physically taken into the procedure/operating room but the…
90	Modifier ‑90 (Reference/Outside Laboratory) indicates that a laboratory test was performed by an entity other than the treating or reporting provider. The American Medical Association defines…	- Use CPT modifier -90 when a laboratory test is performed by an outside/reference laboratory (an entity other than the treating or reporting physician or qualified professional) and the claim needs…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
208D00000X	General Practice Physician	A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
103T00000X	Psychologist	A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, a…
207P00000X	Emergency Medicine Physician	An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospit…
2084P0800X	Psychiatry Physician	A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, …
364SP0811X	Chronically Ill Psychiatric/Mental Health Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
175L00000X	Homeopath	A provider who is educated and trained in a system of therapeutics in which diseases are treated by drugs which are capable of producing in healthy pe…
2471S1302X	Sonography Radiologic Technologist	A radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, st…

Related Codes

CPT-0500F-BRIEF-CLINICAL-DESCRIPTION

CPT 0500F: Preoperative/Perioperative Quality Measure Entry

CPT-0501F-NO-SUMMARY-AVAILABLE

CPT 0501F: No Summary Available

CPT-0502F-NO-SUMMARY-AVAILABLE

CPT 0502F: Procedural Code 0502F

CPT-0503F-0503F-SERVICE-CODE

CPT 0503F: Quality/Performance Measure (Specific Service Not Specified)

CPT-0507F-NO-SUMMARY-AVAILABLE

CPT 0507F: Administrative/Quality Reporting Entry

CPT-0509F-0509F-SERVICE

CPT 0509F: No Summary Available for Specified Procedure

CPT-0513F-CKD-BLOOD-PRESSURE-MANAGEMENT-PLAN

CPT 0513F: Plan of Care for Elevated Blood Pressure in CKD

CPT-0514F-UNDEFINED-CLINICAL-SERVICE

CPT 0514F: Neonatal Stabilization After Birth

CPT-0516F-UNKNOWN-SERVICE

CPT 0516F: Infusion/Intravenous Therapy Assessment

CPT-0517F-CLINICAL-SERVICE-UNSPECIFIED

CPT 0517F: Postoperative Evaluation and Management

Showing 1–10 of 32

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99213`	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	Common E/M code used for visits where counseling and preventive care are provided along with problem-focused care; may be billed in conjunction if documentation supports both.
`99401`	Preventive medicine counseling and/or risk factor reduction intervention(s) per 15 minutes (individual)	Time-based counseling code that may be reported when extended preventive counseling is delivered and documented; complements a preventive service encounter.
`99381`	Initial comprehensive preventive medicine evaluation and management of an individual, new patient; infant through 4 years	Preventive medicine initial visit code used when a comprehensive preventive evaluation is performed; `0505F` may map to specific preventive counseling elements within such visits.
`99406`	Smoking and tobacco cessation counseling visit, intermediate, greater than 3 minutes up to 10 minutes	Specific counseling code used when brief tobacco cessation counseling is provided during a preventive visit involving counseling documented under `0505F`.
`90658`	Influenza virus vaccine, split virus, 3 years and above, for intramuscular use	Common preventive service often ordered or administered during a preventive counseling visit where preventive care needs are addressed.

Related Modifiers

5 rows

Modifier	Description	When to Use
63	Modifier‑63 is appended to surgical CPT codes (20000–69990) when a procedure is performed on a neonate or infant weighing ≤ 4 kg (about 8.8 lbs). The AMA/AAPC definition specifies this use and notes…	- Use modifier -63 only for surgical procedures in the CPT 20000–69990 series performed on a neonate or infant who weighs ≤ 4 kg at the time of the procedure; it indicates increased complexity due to…
56	Modifier ‑56 indicates the reporting provider furnished only the preoperative management for a surgical procedure and did not perform the intraoperative or postoperative care. It is used in…	- Use Modifier -56 when a provider performs only the preoperative management in a split‑care situation (one physician manages preop care while a different physician performs the intraoperative…
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
73	Modifier 73 indicates a facility-level outpatient hospital or ASC procedure that was discontinued after the patient was prepared and taken to the procedure/operating room but before any anesthesia…	- When to use: Apply CPT modifier 73 on the FACILITY (outpatient hospital or ASC) claim when the patient has been fully prepared and physically taken into the procedure/operating room but the…
90	Modifier ‑90 (Reference/Outside Laboratory) indicates that a laboratory test was performed by an entity other than the treating or reporting provider. The American Medical Association defines…	- Use CPT modifier -90 when a laboratory test is performed by an outside/reference laboratory (an entity other than the treating or reporting physician or qualified professional) and the claim needs…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
208D00000X	General Practice Physician	A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
103T00000X	Psychologist	A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, a…
207P00000X	Emergency Medicine Physician	An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospit…
2084P0800X	Psychiatry Physician	A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, …
364SP0811X	Chronically Ill Psychiatric/Mental Health Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
175L00000X	Homeopath	A provider who is educated and trained in a system of therapeutics in which diseases are treated by drugs which are capable of producing in healthy pe…
2471S1302X	Sonography Radiologic Technologist	A radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, st…

Related Codes

CPT-0500F-BRIEF-CLINICAL-DESCRIPTION

CPT 0500F: Preoperative/Perioperative Quality Measure Entry

CPT-0501F-NO-SUMMARY-AVAILABLE

CPT 0501F: No Summary Available

CPT-0502F-NO-SUMMARY-AVAILABLE

CPT 0502F: Procedural Code 0502F

CPT-0503F-0503F-SERVICE-CODE

CPT 0503F: Quality/Performance Measure (Specific Service Not Specified)

CPT-0507F-NO-SUMMARY-AVAILABLE

CPT 0507F: Administrative/Quality Reporting Entry

CPT-0509F-0509F-SERVICE

CPT 0509F: No Summary Available for Specified Procedure

CPT-0513F-CKD-BLOOD-PRESSURE-MANAGEMENT-PLAN

CPT 0513F: Plan of Care for Elevated Blood Pressure in CKD

CPT-0514F-UNDEFINED-CLINICAL-SERVICE

CPT 0514F: Neonatal Stabilization After Birth

CPT-0516F-UNKNOWN-SERVICE

CPT 0516F: Infusion/Intravenous Therapy Assessment

CPT-0517F-CLINICAL-SERVICE-UNSPECIFIED

CPT 0517F: Postoperative Evaluation and Management

Showing 1–10 of 32

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

CPT 0505F: Anesthesia Services for Procedural Encounter

Sign up for cpt 0505F policy alerts

CPT 0505F: Anesthesia Services for Procedural Encounter

Sign up for cpt 0505F policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does CPT code 0505F represent?

Which ICD-10 diagnosis codes should I pair with 0505F?

Are there CPT codes commonly reported alongside 0505F?

Does Medicare cover or reimburse CPT 0505F and what are the reimbursement rates?

How should I apply the outpatient preventive visit clinical context to coding 0505F?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does CPT code 0505F represent?

Which ICD-10 diagnosis codes should I pair with 0505F?

Are there CPT codes commonly reported alongside 0505F?

Does Medicare cover or reimburse CPT 0505F and what are the reimbursement rates?

How should I apply the outpatient preventive visit clinical context to coding 0505F?

References