CPT 01210 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 Upper Leg (Except Knee) |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital • 24 - Ambulatory Surgical Center |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • P3 - A patient with severe systemic disease |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 01210 |
National average anesthesia conversion factor for CPT 01210 by major payers:
$57.77
$55.87
$56.57
$54.58
| 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 01210 | ||||||
United | 01210 | $62.00 | 1619906708 - DANIEL MASLUK | 680238424 - (CA) ANESTHESIA & ANALGESIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01210 | $65.00 | 1518303338 - JOEL PASH | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 01210 | $86.00 | 1861436800 - PHILIP LEVIN | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01210 | $55.00 | 1083926232 - PHILIP KHOURY | 475526966 - (MI) UNIVERSITY PAIN CLINIC ASSOCIATES, PLLC | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01210 | $46.34 | 1689061988 - ANISH GARG | 824591168 - (CA) TRIAS GLOBAL LLC | CA | Anesthesiology Physician (207L00000X) |
United | 01210 | $128.69 | 1508989377 - DAVID ROBINOWITZ | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 01210 | $65.00 | 1821265802 - BECKY WONG | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 01210 | $60.00 | 1659364677 - REGENTS OF THE UNIVERSITY OF CA, REGENTS/UCDPBG/ANESTHESI | 680334324 | CA | Anesthesiology Physician (207L00000X) |
United | 01210 | $72.00 | 1932425584 - WAYLAN WONG | 811757088 - (NV) RED ROCK ANESTHESIA CONSULTANTS LLC | CA | Anesthesiology Physician (207L00000X) |
United | 01210 | $91.75 | 1689171134 - GEOVANY SIGUENZA | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 01210 | $135.50 | 1134143902 - GARY STIER | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 01210 | $65.00 | 1003179540 - YICHUN LIN | 161450921 | CA | Anesthesiology Physician (207L00000X) |
United | 01210 | $128.69 | 1730610627 - DOMINIK OCHOCINSKI | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 01210 | $83.00 | 1861635278 - ANDREW AUNG | 471884235 - CEP AMERICA | CA | Anesthesiology Physician (207L00000X) |
United | 01210 | $77.18 | 1306932462 - NIURKA RIVERO | 953777340 - CHILDRENS HOSPITAL LOS ANGELES MEDICAL GROUP INC | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
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 01210 vs. Other Anesthesia for Procedures on the Upper Leg (Except Knee) Codes
The CPT 01210 code is part of the Anesthesia services used for Anesthesia for Procedures on the Upper Leg (Except Knee). 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 01210 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 |
|---|---|---|
| 01200-CPT | Low | Anesthesia For All Closed Procedures Involving Hip Joint |
| 01202-CPT | Low | Anesthesia For Procedure On Hip Joint Using An Endoscope |
| 01210-CPT | Moderate | Anesthesia For Open Procedures Involving Hip Joint; Not Otherwise Specified |
| 01212-CPT | Moderate | Anes Open Hip Joint Proc; Hip Disartucul |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01210. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01210 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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