CPT 01230 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 | 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
| 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 01230 | ||||||
United | 01230 | $69.62 | 1053733790 - SUSAN ALVAREZ | 954540991 - USC CARE MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 01230 | $67.09 | 1033752365 - MATTHIEU LEGRAND | 943281660 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 01230 | $60.00 | 1255317715 - PAUL KREIS | 680344702 | CA | Anesthesiology Physician (207L00000X) |
United | 01230 | $50.00 | 1013362391 - FREDERICK LI | 273068347 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01230 | $38.00 | 1083926232 - PHILIP KHOURY | 821389277 - (CA) PHILIP G KHOURY, D.O., INC. | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01230 | $67.09 | 1235170895 - IVAN ZEITZ | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 01230 | $121.22 | 1720036080 - EDWARD PARK | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01230 | $58.00 | 1972744001 - TALINE TOROUSSIAN | 464316329 | CA | Anesthesiology Physician (207L00000X) |
United | 01230 | $57.50 | 1386104875 - KEVIN YOUSSEFZADEH | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01230 | $91.75 | 1083635528 - DONALD ANDERSON | 330292783 | CA | Anesthesiology Physician (207L00000X) |
United | 01230 | $64.00 | 1437324514 - ARPNA DAVE' | 882517801 - (CA) MOCHI MEDICAL PA | CA | Anesthesiology Physician (207L00000X) |
United | 01230 | $113.00 | 1487686903 - RANDALL WARING | 680273974 - SUTTER VALLEY MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01230 | $67.09 | 1245434190 - DOMINIKA MOTAS | 943281660 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01230 | $58.00 | 1467721035 - BRADLEY J THOMAS MD INC | 201340784 - (CA) BRADLEY J THOMAS MD INC | CA | Anesthesiology Physician (207L00000X) |
United | 01230 | $50.00 | 1023126869 - KYUNG RO | 203878757 - (CA) KYUNG K RO MD PROFESSIONAL CORPORATION | 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 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.
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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