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CPT 01390 Fee Schedule

Last Verified: January 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 Upper Tibia Fibula Patella Closed
Key FactDetail
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 LevelLow
Medicare Fee ScheduleView Medicare rates for 01390

National average anesthesia conversion factor for CPT 01390 by major payers:

bcbs

$57.05

uhc

$55.68

aetna

$55.88

cigna

$18.17

Preview provider-level rates for...
For billing codeCPT 01390
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 01390

United
01390$128.691942336615 - AMY LU943281660CAAnesthesiology Physician (207L00000X)
United
01390$44.001043303878 - STANISLAUS ANESTHESIA MEDICAL GROUP200184970 - (CA) STANISLAUS ANESTHESIA MEDICAL GROUP INCCAAnesthesiology Physician (207L00000X)
United
01390$62.701528351582 - ARVINDER GILL954845900 - (CA) UNIVERSAL PAIN MANAGEMENT MEDICAL CORPORATIONCAPain Medicine (Anesthesiology) Physician (207LP2900X)
United
01390$86.001134756596 - RYAN NGUYEN954377219CAAnesthesiology Physician (207L00000X)
United
01390$66.131396704672 - RICHARD DUONG953942828 - (CA) PIH HEALTH PHYSICIANSCAAnesthesiology Physician (207L00000X)
United
01390$35.001487688958 - VIVEK SHARMA954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATIONCAAnesthesiology Physician (207L00000X)
United
01390$38.001043493570 - PAIN DIAGNOSIS & TREATMENT INC., A MEDICAL CLINIC330490488 - (CA) PAIN DIAGNOSIS AND TREATMENT, INC.CAPain Medicine (Anesthesiology) Physician (207LP2900X)
United
01390$61.001265057160 - DILLON SOOKNANAN943281663CAAnesthesiology Physician (207L00000X)
United
01390$93.011013105725 - NATE KELLY834708723 - (CA) G2 ANESTHESIA, PCCAAnesthesiology Physician (207L00000X)
United
01390$65.001811920937 - WILLIAM PAPANICKOLAS770414846 - (CA) MODESTO ANESTHESIA MEDICAL GROUPCAAnesthesiology Physician (207L00000X)
United
01390$65.001245567395 - KRISTEN TELISCHAK770465765CAPediatric Anesthesiology Physician (207LP3000X)
United
01390$61.001649037474 - PREETHY MATHEW943281657CAPediatric Anesthesiology Physician (207LP3000X)
United
01390$55.501346683489 - CRYSTAL TAN952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINECAAnesthesiology Physician (207L00000X)
United
01390$81.441942228580 - DEBORAH MCIVOR330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSMCAAnesthesiology Physician (207L00000X)
United
01390$84.661730190968 - BRANDON GIAP951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC.CAAnesthesiology Physician (207L00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 01390 vs. Other Anesthesia for Procedures on the Knee and Popliteal Area Codes

The CPT 01390 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 01390 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.

CodeComplexityDescription
01320-CPTLowAnes Knee Popliteal Nerve Muscle Tendon
01340-CPTLowAnes Lower 1/3 Femur Closed
01360-CPTModerateAnes Lower 1/3 Femur Open
01390-CPTLowAnes Upper Tibia Fibula Patella Closed

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01390. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 01390 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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