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See a sample rate comparisonCPT 01212 Fee Schedule
Last Verified: October 2026
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.
Anesthe For Open Procs Invol Hip Joint; Hip Disarticulatio, Anesthesia For Open Procedures Involving Hip Joint; Hip Disarticulatio
| 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 |
| Common Modifiers | None QX - Qualified nonphysician anesthetist service: With medical direction by a physician QK - Medical direction of two, three or four concurrent anesthesia procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 01212 |
National average anesthesia conversion factor for CPT 01212 by major payers:
$58.24
$55.62
$57.31
$55.24
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CPT 01212
5 of 25 sample ratesHigher to lower in this preview
Craig Beaman
$128.69Published rateXiao Liu
$70.00Published ratePatrick Healey
Guthrie Medical Group PC
$60.00Published rateAlyssa Brzenski
Healing The Soul
$55.00Published rateGanesh Prasad
Eisenhower Medical Center
$25.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 01212 vs. Other Anesthesia for Procedures on the Upper Leg (Except Knee) Codes
The CPT 01212 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 01212 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 Joint Procedure, Anesthesia Services For A Noninvasive Procedure Involving A Joint Such As A Scope-Assisted Exam. Common Exam Sites Include Hip Knee Shoulder Wrist Ankle And Elbow. |
| 01202-CPT | Low | Anesthesia For Joint Procedure, Anesthesia Services For A Noninvasive Procedure Involving A Joint Such As A Scope-Assisted Exam. Common Exam Sites Include Hip Knee Shoulder Wrist Ankle And Elbow. |
| 01210-CPT | Moderate | Anesthesia For Joint Surgery, Anesthesia Services For A Surgery Involving A Joint Such As A Scope-Assisted Exam Repair Of A Broken Bone Or Removal Of A Bone. Joint Surgery May Involve The Hip Knee Shoulder Elbow Wrist Or Neck. |
| 01212-CPT | Moderate | Anesthe For Open Procs Invol Hip Joint; Hip Disarticulatio, Anesthesia For Open Procedures Involving Hip Joint; Hip Disarticulatio |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01212. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01212 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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