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See a sample rate comparisonCPT 01360 Fee Schedule
Last Verified: September 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.
Anes Lower 1/3 Femur Open
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Knee and Popliteal Area |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None AA - Anesthesia by anesthesiologist QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 01360 |
| Medicaid Fee Schedule | View Medicaid rates for 01360 |
National average anesthesia conversion factor for CPT 01360 by major payers:
$57.49
$55.75
$56.46
$54.41
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CPT 01360
5 of 25 sample ratesHigher to lower in this preview
Ludwig Lin
$128.69Published rateRicha Pardikar
$86.00Published rateJustin Laubach
Anesthesia Consultants Of California Medical Group, Inc.
$65.00Published rateEve Nyrhinen
$61.00Published rateArpna Dave'
Mochi Medical PA
$34.00Published rate
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See a sample payer proposalCPT 01360 vs. Other Anesthesia for Procedures on the Knee and Popliteal Area Codes
The CPT 01360 code is part of the Anesthesia services used for Anesthesia for Procedures on the Knee and Popliteal Area. 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 01360 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 |
|---|---|---|
| 01320-CPT | Low | Anesthesia For All Procedures, Anesthesia For All Procedures On Nerves Muscles Tendons Fascia And Bursae Of Knee Andor Popliteal Area |
| 01340-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). |
| 01360-CPT | Moderate | Anes Lower 1/3 Femur Open |
| 01380-CPT | Low | Anesthesia For Joint Procedure, Anesthesia Services For A Noninvasive Procedure Involving A Joint Such As A Scope-Assisted Exam. Common Exam Sites Include Hip Knee Shoulder Wrist Ankle And Elbow. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01360. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01360 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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