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CPT 01390 Fee Schedule

Last Verified: November 2025

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

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$46.341710475199 - LAURA PASTERNACK824591168 - (CA) TRIAS GLOBAL LLCCAAnesthesiology Physician (207L00000X)
United
01390$52.001205060837 - KIMBERLY RICHARDSON271876899CAAnesthesiology Physician (207L00000X)
United
01390$60.001801323084 - AUSTIN FLORES680334324CAPediatric Anesthesiology Physician (207LP3000X)
United
01390$83.001467742700 - ROBERT KONG471884235 - CEP AMERICACAAnesthesiology Physician (207L00000X)
United
01390$65.001942736509 - JATTURONG WICHIANSON330500394 - (CA) CALIFORNIA ANESTHESIA ASSOCIATES MEDICAL GROUP, INC.CAAnesthesiology Physician (207L00000X)
United
01390$84.661922112259 - STUART YOUNG951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC.CAAnesthesiology Physician (207L00000X)
United
01390$65.001992949515 - MARIANNE CHEN770465765CAAnesthesiology Physician (207L00000X)
United
01390$135.501699716282 - CHARLES ANDERSON330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSMCAAnesthesiology Physician (207L00000X)
United
01390$99.001396786091 - PARISA PARTOWNAVID954395492CAAnesthesiology Physician (207L00000X)
United
01390$65.001962567693 - LAWRENCE CHU770465765CAAnesthesiology Physician (207L00000X)
United
01390$55.001871100800 - NADER RONAGHI MD CORP.842684513 - (CA) NADER RONAGHI MD CORPCAAnesthesiology Physician (207L00000X)
United
01390$63.001740226174 - DONALD ROSE1740226174 - (CA) DONALD ROSECAAnesthesiology Physician (207L00000X)
United
01390$56.001750546354 - KHANH LE263090708 - (CA) KHANH LE MD INCCAAnesthesiology Physician (207L00000X)
United
01390$86.001558999219 - JARED KATZ954377219CAAnesthesiology Physician (207L00000X)
United
01390$50.001255387072 - SHARON JOHNSON251487321 - (PA) NCA CORPORATIONCAAnesthesiology 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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