CPT 01380 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 for Procedures on the Knee and Popliteal Area Anesthesia |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| Common Modifiers | None AA - Anesthesia by anesthesiologist QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 01380 |
National average anesthesia conversion factor for CPT 01380 by major payers:
$56.84
$55.68
$55.41
$18.17
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 01380 | $67.09 | 1437646031 - PAMELA HUANG | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 01380 | $83.00 | 1740501170 - ROBERT SCHUSTER | 932316816 | CA | Anesthesiology Physician (207L00000X) |
United | 01380 | $121.22 | 1316971278 - MARY KEYES | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01380 | $51.00 | 1144398207 - SAN DIMAS ANESTHESIA MEDICAL GROUP | 954676301 | CA | Anesthesiology Physician (207L00000X) |
United | 01380 | $69.00 | 1508899345 - CURTIS MCMILLAN | 680304987 - (CA) NORTHERN CALIFORNIA ANESTHESIA PHYSICIANS, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01380 | $75.00 | 1831691534 - PATRICK LAM | 943158784 - (CA) ANESTHESIA CARE ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01380 | $128.69 | 1710483201 - TENZING LAMA | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 01380 | $61.00 | 1356309140 - C. SPENCER YOST | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 01380 | $78.00 | 1386848802 - DAREN FILSINGER | 954656412 - (CA) PACIFIC VALLEY MEDICAL GROUP | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01380 | $72.25 | 1770939316 - JENNIFER MEEKER | 930391573 - GOOD SAMARITAN HOSPITAL CORVALLIS | CA | Anesthesiology Physician (207L00000X) |
United | 01380 | $62.00 | 1427244771 - ALYSSA RAKE | 593425191 - (FL) PEDIATRIC PHYSICIANS SERVICES INC | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 01380 | $45.00 | 1326381161 - JENNIFER GASTELUM | 611677183 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 01380 | $84.48 | 1184700932 - ARTHUR LAM | 910565539 - (WA) VIRGINIA MASON MEDICAL CENTER | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 01380 | $117.22 | 1154448876 - CARLO FRANCO | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 01380 | $38.00 | 1689018228 - LARS R. NEWSOME, M.D., INC. | 461516846 - (CA) LARS R NEWSOME MD INC | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
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 01380 vs. Other Anesthesia Codes
The CPT 01380 code is part of the Anesthesia for Procedures on the Knee and Popliteal Area services used for Anesthesia. 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 01380 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 01380. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01380 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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