CPT 01392 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 | 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 | Low |
| Medicare Fee Schedule | View Medicare rates for 01392 |
National average anesthesia conversion factor for CPT 01392 by major payers:
$57.30
$55.73
$56.13
$54.24
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 01392 | $55.00 | 1740795079 - MICHAEL J KIM, MD, INC. | 452876514 - (CA) MICHAEL J KIM MD INC | CA | Anesthesiology Physician (207L00000X) |
United | 01392 | $55.00 | 1598056715 - MARYA LEAHY | 931311318 | CA | Anesthesiology Physician (207L00000X) |
United | 01392 | $57.50 | 1477084572 - XUEZHI DONG | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01392 | $60.00 | 1205820586 - CATHERINE CHUNG | 811684142 | CA | Anesthesiology Physician (207L00000X) |
United | 01392 | $84.66 | 1588688048 - BRADLEY FOLTZ | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01392 | $69.62 | 1851331417 - WAYNE KAUFMAN | 954540991 - USC CARE MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 01392 | $81.44 | 1386106565 - JOYCE HSIAO | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 01392 | $69.62 | 1417451410 - JEE HWAN CHOI | 954540991 - USC CARE MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 01392 | $72.00 | 1326494097 - MARYN KANTER | 426004813 | CA | Anesthesiology Physician (207L00000X) |
United | 01392 | $117.22 | 1629410519 - ELI LUONG | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 01392 | $56.00 | 1598925877 - SUKHDEEP ATHWAL | 882872979 - (CA) VALLEY REGIONAL ANESTHESIA ASSOCIATES INC | CA | Anesthesiology Physician (207L00000X) |
United | 01392 | $50.00 | 1619095247 - BRIAN GWARTZ | 330927283 - (CA) PIONEER MEDICAL GROUP, INC. | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01392 | $63.00 | 1740226174 - DONALD ROSE | 1740226174 - (CA) DONALD ROSE | CA | Anesthesiology Physician (207L00000X) |
United | 01392 | $48.00 | 1871552364 - DANILO JARAVATA | 562644292 - (CA) RESOURCE ANESTHESIOLOGY ASSOC OF CALIFORNIAA MEDICAL CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 01392 | $50.00 | 1215978150 - ASHISH SINHA | 831002191 - TEMPLE FACULTY PRACTICE PLAN INC | CA | Anesthesiology Physician (207L00000X) |
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 01392 vs. Other Anesthesia Codes
The CPT 01392 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 01392 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 |
|---|---|---|
| 01392-CPT | Low | Anesthe For All Open Procs On Upper Ends Of Tibia Fibula &, Anesthesia For All Open Procedures On Upper Ends Of Tibia Fibula And |
| 01400-CPT | Low | Anesthesia For Joint Surgery, Anesthesia Services For A Surgery Involving A Joint Such As A Scope-Assisted Exam Repair Of A Broken Bone Or Removal Of A Bone. Joint Surgery May Involve The Hip Knee Shoulder Elbow Wrist Or Neck. |
| 01402-CPT | Moderate | Anesthesia For Joint Repair, Anesthesia Services For Surgery To Repair Replace Or Revise A Previous Repair Of A Joint. Common Surgeries Of This Type Involve A Hip Knee Shoulder Elbow Or Wrist. |
| 01404-CPT | Moderate | Anesthe For Open Or Surg Arthroscopic Procs On Knee Joint;, Anesthesia For Open Or Surgical Arthroscopic Procedures On Knee Joint; |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01392. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01392 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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