CPT 01215 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 • P3 - A patient with severe systemic disease • QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 01215 by major payers:
$58.09
$55.91
$57.17
$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 01215 | ||||||
United | 01215 | $65.00 | 1104386721 - ALLEN NINH | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 01215 | $91.75 | 1447272810 - CHARLES LEE | 330292783 | CA | Anesthesiology Physician (207L00000X) |
United | 01215 | $55.50 | 1679916431 - JAY SHEN | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 01215 | $61.00 | 1700841319 - LINDA LIU | 943281657 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 01215 | $99.00 | 1447296116 - SWATI PATEL | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01215 | $128.69 | 1922194349 - DAVID LEE | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 01215 | $99.00 | 1326305707 - MICHAEL LIN | 954395492 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 01215 | $81.44 | 1932735966 - ALEXANDER NEMIROV | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 01215 | $117.22 | 1912392291 - DANIELLE HOLLAND | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 01215 | $52.00 | 1043525504 - CARLOS GARCIA | 271876899 | CA | Anesthesiology Physician (207L00000X) |
United | 01215 | $35.00 | 1154301224 - MICHELE PELOT | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01215 | $99.00 | 1245692771 - LAUREN VAJDA | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01215 | $38.00 | 1275710964 - NAVDEEP LOOMBA MD INC., GLOBAL PAIN CARE | 260139095 - (CA) NAVDEEP LOOMBA, M.D., INC. | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01215 | $55.00 | 1376557439 - JONATHAN WEEKS | 880817607 - (CA) EXCELLE ANESTHESIA SERVICES INC | CA | Anesthesiology Physician (207L00000X) |
United | 01215 | $52.00 | 1962482083 - MOSES SALIBIAN | 824843810 - (CA) SOCAL ANESTHESIA SOLUTIONS 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 01215 vs. Other Anesthesia for Procedures on the Upper Leg (Except Knee) Codes
The CPT 01215 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 01215 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 |
| 01215-CPT | Moderate | Anes, Open Procedures Of Hip Joint; Revision Of Total Hip Arthroplasty |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01215. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01215 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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