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See a sample rate comparisonCPT 01402 Fee Schedule
Last Verified: October 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 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.
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Knee and Popliteal Area |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None P3 - A patient with severe systemic disease AA - Anesthesia by anesthesiologist |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 01402 |
National average anesthesia conversion factor for CPT 01402 by major payers:
$57.79
$55.93
$56.38
$54.74
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CPT 01402
5 of 25 sample ratesHigher to lower in this preview
Pekka Talke
$128.69Published rateThomas Karagianes
Anesthesia Service Medical Group, Inc.
$84.66Published rateJean-Louis Horn
$70.00Published rateDaniel Lee
$57.50Published rateGeorge Bancroft
Eisenhower Medical Center
$25.00Published rate
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See a sample payer proposalCPT 01402 vs. Other Anesthesia for Procedures on the Knee and Popliteal Area Codes
The CPT 01402 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 01402 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 01402. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01402 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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