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See a sample rate comparisonCPT 01380 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Knee and Popliteal Area |
| 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 |
| Medicaid Fee Schedule | View Medicaid rates for 01380 |
National average anesthesia conversion factor for CPT 01380 by major payers:
$56.84
$55.68
$55.41
$18.17
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CPT 01380
5 of 25 sample ratesHigher to lower in this preview
Tenzing Lama
$128.69Published rateRobert Schuster
$83.00Published ratePamela Huang
$67.09Published rateAugusto Alarcon
Premier Anesthesia Medical Group
$57.00Published rateLars R. Newsome, M.D., Inc.
Lars R Newsome Md Inc
$38.00Published rate
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See a sample payer proposalCPT 01380 vs. Other Anesthesia for Procedures on the Knee and Popliteal Area Codes
The CPT 01380 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 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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