CPT 01173 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 • Anesthesia for Procedures on the Pelvis (Except Hip) |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital • 23 - Emergency Room |
| Common Modifiers | • None • P3 - A patient with severe systemic disease • QK - Medical direction of two, three or four concurrent anesthesia procedures |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 01173 by major payers:
$54.88
$55.88
$57.34
$55.58
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 01173 | ||||||
United | 01173 | $66.00 | 1528209459 - JAMIE ETO | 272563652 - (CA) ORION ANESTHESIA CONSULTANTS INC | CA | Anesthesiology Physician (207L00000X) |
United | 01173 | $60.00 | 1558673525 - MICHAEL ZHOU | 680334324 | CA | Anesthesiology Physician (207L00000X) |
United | 01173 | $73.75 | 1285954578 - CHANWANG PARK | 352120414 - (IN) ANESTHESIA CONSULTANTS OF INDIANAPOLIS, LLC | CA | Anesthesiology Physician (207L00000X) |
United | 01173 | $121.22 | 1548436462 - HARKIRAT CHAHAL | 954373071 | CA | Anesthesiology Physician (207L00000X) |
United | 01173 | $99.00 | 1518224518 - SOBAN UMAR | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01173 | $83.00 | 1053320507 - JOAN CHEN | 471884235 - CEP AMERICA | CA | Anesthesiology Physician (207L00000X) |
United | 01173 | $86.00 | 1265466114 - MOR-DAK CHAN | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01173 | $62.00 | 1831458553 - MICHAEL TANG | 852611756 - (CA) OAK CREEK ANESTHESIA SERVICES INC | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 01173 | $99.00 | 1124063193 - CHINH MAI | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01173 | $67.09 | 1710478227 - SHERRY LIOU | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 01173 | $99.00 | 1538665864 - ALEXA LEAN | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01173 | $70.00 | 1992190078 - EMILY STOCKERT | 260089066 | CA | Anesthesiology Physician (207L00000X) |
United | 01173 | $37.00 | 1013927110 - MICHAEL TRAN | 270657857 - (CA) ACADIA PAIN MANAGEMENT GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 01173 | $53.00 | 1871688739 - MARINO FERNANDEZ | 464150987 - (CA) VALLEY CHILDRENS MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 01173 | $83.00 | 1225371073 - MICHAEL ROSS | 471884235 - CEP AMERICA | 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 01173 vs. Other Anesthesia for Procedures on the Pelvis (Except Hip) Codes
The CPT 01173 code is part of the Anesthesia services used for Anesthesia for Procedures on the Pelvis (Except Hip). 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 01173 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01173. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01173 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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