CPT 01272 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 • 23 - Emergency Room |
| Common Modifiers | • None • QX - Qualified nonphysician anesthetist service: With medical direction by a physician • P3 - A patient with severe systemic disease |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 01272 |
National average anesthesia conversion factor for CPT 01272 by major payers:
$55.84
$55.62
$56.95
$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 01272 | ||||||
United | 01272 | $121.22 | 1720202054 - JOHN CHALABI | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01272 | $100.00 | 1366635161 - DAVID DRAGHINAS | 800751621 - NOBLE ANESTHESIA PARTNERS PLLC | CA | Anesthesiology Physician (207L00000X) |
United | 01272 | $78.00 | 1558385492 - SHANIKA PERERA | 954656412 - (CA) PACIFIC VALLEY MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 01272 | $45.00 | 1669650529 - MARK SCHLESINGER, M.D., A PROFESSIONAL CORPORATION, SCHLESINGER PAIN CENTERS | 953990204 - (CA) MARK SCHLESINGER, M.D. A PROFESSIONAL CORPORATION | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01272 | $50.47 | 1871514786 - MIRJANA VUSTAR | 880988603 - (MO) SSM HEALTH CARE GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 01272 | $57.00 | 1306863956 - YOUSSEF SHENOUDA | 770366626 - (CA) PREMIER ANESTHESIA MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 01272 | $99.00 | 1427837665 - ALINE TOUKHTARIAN | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01272 | $117.22 | 1316443518 - MICHELLE CHEN | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 01272 | $121.22 | 1750589412 - JULIE TRAN | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01272 | $63.00 | 1689934655 - ELENA CHO | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01272 | $65.00 | 1568626042 - JUNG YI | 330636378 - (CA) ANESTHESIA CONSULTANTS OF CALIFORNIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01272 | $60.00 | 1508108085 - GORDON CHEN | 680334324 | CA | Anesthesiology Physician (207L00000X) |
United | 01272 | $121.22 | 1821872540 - YI WEI TAN | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01272 | $58.00 | 1336450311 - ALYSE MOUSETTE | 464316329 | CA | Anesthesiology Physician (207L00000X) |
United | 01272 | $52.00 | 1114022704 - GILBERT ALMARAZ | 208458931 - (CA) ANESTHESIA CONSULTANTS OF THE DESERT 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 01272 vs. Other Anesthesia for Procedures on the Upper Leg (Except Knee) Codes
The CPT 01272 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 01272 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 01272. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01272 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.
Let's review your payer contracts side-by-side with the market.
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