CPT 01170 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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None P3 - A patient with severe systemic disease AA - Anesthesia by anesthesiologist |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 01170 |
National average anesthesia conversion factor for CPT 01170 by major payers:
$57.95
$55.83
$56.99
$54.91
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 01170 | $84.66 | 1538151543 - PAUL CATTAFI | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01170 | $117.22 | 1811216245 - PETER KIM | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 01170 | $61.00 | 1487072195 - ALBERT YEN | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 01170 | $66.13 | 1710901129 - MICHAEL NGUYEN | 953942828 - (CA) PIH HEALTH PHYSICIANS | CA | Anesthesiology Physician (207L00000X) |
United | 01170 | $65.00 | 1306292867 - RICHARD KIM | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 01170 | $60.00 | 1720309420 - PRASHANTH SUTRAVE | 811684142 | CA | Anesthesiology Physician (207L00000X) |
United | 01170 | $128.69 | 1043350325 - STACIE SMITH | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 01170 | $128.69 | 1962468793 - SUSAN CHENG | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 01170 | $38.00 | 1164458733 - CHRISTINE CHOW | 330674406 | CA | Anesthesiology Physician (207L00000X) |
United | 01170 | $65.00 | 1821016338 - MARK SINGLETON | 770465765 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01170 | $117.22 | 1114233053 - RAKHI DAYAL | 954401759 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01170 | $61.00 | 1487072195 - ALBERT YEN | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 01170 | $55.00 | 1881823797 - MICHAEL VELEZ | 953942828 - (CA) PIH HEALTH PHYSICIANS | CA | Anesthesiology Physician (207L00000X) |
United | 01170 | $121.22 | 1427837665 - ALINE TOUKHTARIAN | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01170 | $128.69 | 1548525611 - MATTHEW DUDLEY | 943281657 | 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 01170 vs. Other Anesthesia Codes
The CPT 01170 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 01170 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). |
| 01170-CPT | Moderate | Anesthe For Open Procs Invol Symphysis Pubis Or Sacroiliac, Anesthesia For Open Procedures Involving Symphysis Pubis Or Sacroiliac |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01170. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01170 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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Bring your top codes (like CPT 01170) and we'll show you how you compare in 15 minutes or less.