CPT 01212 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 |
| 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
| 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 01212 | ||||||
United | 01212 | $55.00 | 1912291188 - CATHERINE B CHUNG M D INC | 330888553 - (CA) CATHERINE B CHUNG M D INC | CA | Anesthesiology Physician (207L00000X) |
United | 01212 | $35.00 | 1528252558 - FAISAL LALANI | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01212 | $60.00 | 1215962402 - PATRICK HEALEY | 250815795 - GUTHRIE MEDICAL GROUP PC | CA | Anesthesiology Physician (207L00000X) |
United | 01212 | $121.22 | 1477929263 - SARA NAVAB | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01212 | $60.00 | 1972634020 - WEST COAST ANESTHESIA INC A MEDICAL GROUP | 330921818 | CA | Anesthesiology Physician (207L00000X) |
United | 01212 | $91.00 | 1215462825 - JESSE SNIDER | 810231784 - BILLINGS CLINIC | CA | Anesthesiology Physician (207L00000X) |
United | 01212 | $50.00 | 1447683537 - DAVID HADIPRODJO | 462756016 - (CA) PREMIERCARE ANESTHESIA FOUNTAIN VALLEY INC | CA | Anesthesiology Physician (207L00000X) |
United | 01212 | $55.00 | 1740470673 - ALYSSA BRZENSKI | 237064656 - HEALING THE SOUL | CA | Anesthesiology Physician (207L00000X) |
United | 01212 | $121.22 | 1689105587 - LIBING WANG | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01212 | $38.00 | 1841482759 - SHAWN HODGE | 208703660 - (CA) BAKERSFIELD PAIN MANAGEMENT, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01212 | $128.69 | 1396500823 - CRAIG BEAMAN | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 01212 | $73.00 | 1154697837 - MISSION INTERNAL MEDICAL GROUP, INC. | 952794408 - (CA) MISSION INTERNAL MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01212 | $57.50 | 1063857563 - JANE MOON | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01212 | $62.00 | 1629181318 - ROBERT SINGLER | 680238424 - (CA) ANESTHESIA & ANALGESIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01212 | $52.00 | 1043410681 - MICHELLE NGUYEN | 463842055 - (CA) HP ANESTHESIA 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 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 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 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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