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See a sample rate comparisonCPT 01230 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 Upper Two-Thirds Of Femur; No, Anesthesia For Open Procedures Involving Upper Two-Thirds Of Femur; No
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 01230 |
National average anesthesia conversion factor for CPT 01230 by major payers:
$52.95
$55.77
$56.46
$54.58
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CPT 01230
5 of 25 sample ratesHigher to lower in this preview
Edward Park
$121.22Published rateDaniel Swangard
Northern California Anesthesia Physicians, Inc.
$69.00Published rateHo- Yin Li
Blue Eagle Anesthesia Inc A Professional Corporation
$63.79Published rateScott Engwall
Regents Of The University Of California At Irvine
$55.50Published rateJonathan Eng
Kings Physician Services PC
$22.73Published rate
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See a sample payer proposalCPT 01230 vs. Other Anesthesia for Procedures on the Upper Leg (Except Knee) Codes
The CPT 01230 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 01230 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 |
|---|---|---|
| 01220-CPT | Low | Anesthesia For The Thigh Bone, Anesthesia Services For A Procedure That Does Not Involve Breaking The Skin (Such As Resetting A Dislocation) Involving The Femur (Thigh Bone). |
| 01230-CPT | Moderate | Anesthe For Open Procs Invol Upper Two-Thirds Of Femur; No, Anesthesia For Open Procedures Involving Upper Two-Thirds Of Femur; No |
| 01232-CPT | Moderate | Anesthesia For Leg Amputation, Anesthesia Services For A Surgery To Amputate The Leg At The Upper Portion Of The Femur (Thigh Bone). |
| 01234-CPT | Moderate | Anesthe For Open Procs Invol Upper Two-Thirds Of Femur; Ra, Anesthesia For Open Procedures Involving Upper Two-Thirds Of Femur; Ra |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01230. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01230 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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