CPT 01160 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 for Procedures on the Pelvis (Except Hip) Anesthesia |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | QZ - CRNA service; without medical direction by a physician QS - Monitored anesthesia care service None |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 01160 |
National average anesthesia conversion factor for CPT 01160 by major payers:
$49.88
$54.09
$56.74
$55.38
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 01160 | $52.00 | 1437171675 - PATRICK YANG | 475031006 | CA | Anesthesiology Physician (207L00000X) |
United | 01160 | $69.62 | 1649703877 - SANDRA CARVAJAL-RAGA | 954540991 - USC CARE MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 01160 | $70.00 | 1639146004 - RICARDO CARRANZA | 843859355 - (TX) GREATER TEXAS ANESTHESIA CONSULTANTS PLLC | CA | Anesthesiology Physician (207L00000X) |
United | 01160 | $58.52 | 1679597827 - SERGIO GO | 952282647 - (CA) WHITE MEMORIAL MEDICAL CENTER | CA | Anesthesiology Physician (207L00000X) |
United | 01160 | $52.00 | 1164458733 - CHRISTINE CHOW | 208458931 - (CA) ANESTHESIA CONSULTANTS OF THE DESERT INC | CA | Anesthesiology Physician (207L00000X) |
United | 01160 | $55.50 | 1689990111 - IOANA PASCA | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 01160 | $66.13 | 1447382197 - STEVEN CHEN | 953942828 - (CA) PIH HEALTH PHYSICIANS | CA | Anesthesiology Physician (207L00000X) |
United | 01160 | $38.00 | 1528733185 - ASHEH & DAUGHETY MEDICAL CORPORATION, VITALITY WELLNESS INSTITUTE | 872104500 - (CA) ASHEH DAUGHETY MEDICAL CORPORATION | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01160 | $35.00 | 1396716759 - GOVINDAN BALASUBRAMANIAN | 770004757 | CA | Anesthesiology Physician (207L00000X) |
United | 01160 | $70.00 | 1518303338 - JOEL PASH | 260089066 | CA | Anesthesiology Physician (207L00000X) |
United | 01160 | $53.00 | 1912139320 - JUSTIN HAMRICK | 716046242 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01160 | $61.00 | 1730624636 - SHAMSUDINI HASHI | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 01160 | $58.00 | 1942443361 - MY LIU | 202936136 - (CA) BLUE EAGLE ANESTHESIA INC A PROFESSIONAL CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 01160 | $58.00 | 1972744001 - TALINE TOROUSSIAN | 464316329 | CA | Anesthesiology Physician (207L00000X) |
United | 01160 | $38.00 | 1902387186 - FOCUSED CARE ANESTHESIA CONSULTANTS, INC | 832820595 - (CA) FOCUSED CARE ANESTHESIA CONSULTANTS INC | 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 01160 vs. Other Anesthesia Codes
The CPT 01160 code is part of the Anesthesia for Procedures on the Pelvis (Except Hip) services used for Anesthesia. 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 01160 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 |
|---|---|---|
| 01120-CPT | Moderate | Anesthesia For Pelvic Bones, Anesthesia Services For Procedures Involving The Pelvic Bones And The Bony Structures That Attach To It Such As Repair Of A Broken Pelvis. |
| 01130-CPT | Low | Anes Apply Revise Body Cast |
| 01140-CPT | Moderate | Anesthesia For Amputation, Anesthesia Services For A Surgery To Amputate The Hindquarter (Area Encompassing The Hip Pelvis And Part Of The Abdomen). |
| 01160-CPT | Low | Anesthesia Of Pelvic Bones, Anesthesia Services For A Procedure That Does Not Involve Breaking The Skin (Such As Resetting A Dislocation) Involving The Tailbone Or Pubic Bone. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01160. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01160 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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