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See a sample rate comparisonCPT 01260 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.
Anesthesia Thigh Blood Vessel, Anesthesia Services For Procedures Involving The Blood Vessels Of The Thigh. Examples Of These Procedures Include Exploratory Surgery Bypass Grafting And Removal Of Blood Clots.
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Upper Leg (Except Knee) |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None AA - Anesthesia by anesthesiologist QK - Medical direction of two, three or four concurrent anesthesia procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 01260 |
National average anesthesia conversion factor for CPT 01260 by major payers:
$50.40
$54.10
$55.93
$22.12
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CPT 01260
5 of 25 sample ratesHigher to lower in this preview
Camille Gonzalez
$128.69Published rateDaniela Karagyozyan
Faculty Physicians And Surgeons Of Llusm
$81.44Published rateMichael Mehmedbasich
$63.00Published rateJenny Kan
Pediatric Anesthesia Associates Medical Group, Inc.
$52.00Published rateConservative Care Specialists Medical Group Inc
Conservative Care Specialist Medical Group, Inc.
$31.00Published rate
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See a sample payer proposalCPT 01260 vs. Other Anesthesia for Procedures on the Upper Leg (Except Knee) Codes
The CPT 01260 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 01260 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). |
| 01260-CPT | Low | Anesthesia Thigh Blood Vessel, Anesthesia Services For Procedures Involving The Blood Vessels Of The Thigh. Examples Of These Procedures Include Exploratory Surgery Bypass Grafting And Removal Of Blood Clots. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01260. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01260 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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