CPT 01220 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 • 23 - Emergency Room |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • P3 - A patient with severe systemic disease |
| Complexity Level | Low |
National average anesthesia conversion factor for CPT 01220 by major payers:
$52.55
$55.71
$56.55
$54.24
| 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 01220 | ||||||
United | 01220 | $44.08 | 1437536521 - TONY WANG | 951683892 - (CA) COMMUNITY MEMORIAL HEALTH SYSTEM | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01220 | $86.00 | 1699302091 - CHRISTOPHER LEE | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01220 | $65.00 | 1417238759 - LIANG ZHANG | 330500394 - (CA) CALIFORNIA ANESTHESIA ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01220 | $61.00 | 1023540432 - NICOLE MARQUAND | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 01220 | $56.00 | 1265413165 - ANHTU LA | 800927296 | CA | Anesthesiology Physician (207L00000X) |
United | 01220 | $61.00 | 1417141086 - CRISTINA SANCHEZ | 464649910 | CA | Anesthesiology Physician (207L00000X) |
United | 01220 | $65.00 | 1144286824 - ADOLFO BLANCO | 520595110 - JOHNS HOPKINS UNIVERSITY | CA | Anesthesiology Physician (207L00000X) |
United | 01220 | $86.00 | 1619408960 - LINDSAY BROWN | 954377219 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01220 | $84.66 | 1922432475 - LAWRENCE YOUNAN | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01220 | $61.00 | 1760166045 - MAXIME LEGER | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 01220 | $99.00 | 1831120070 - PEREGRINA ARCIAGA | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01220 | $128.69 | 1417985334 - JAMES BRANDES | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 01220 | $99.00 | 1336415934 - ANDREW YOUNG | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01220 | $84.66 | 1407880982 - CLAUDIA HERD | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01220 | $99.00 | 1811938749 - CARSTEN NADJAT-HAIEM | 954377219 | 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 01220 vs. Other Anesthesia for Procedures on the Upper Leg (Except Knee) Codes
The CPT 01220 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 01220 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 01220. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01220 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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