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See a sample rate comparisonCPT 01420 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.
Anesthe For All Cast Applications Remval Or Rpair Invol Kne, Anesthesia For All Cast Applications Removal Or Repair Involving Kne
| 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 AA - Anesthesia by anesthesiologist QK - Medical direction of two, three or four concurrent anesthesia procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 01420 |
National average anesthesia conversion factor for CPT 01420 by major payers:
$57.27
$55.62
$56.13
$18.17
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CPT 01420
5 of 25 sample ratesHigher to lower in this preview
Jared Katz
$121.22Published rateManshu Yan
Faculty Physicians And Surgeons Of Llusm
$81.44Published rateJames Hlavacek
$65.00Published rateZackary Chancer
Lancaster General Hospital
$55.00Published rateAndres Betts
Minimally Invasive Medical Group
$38.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 01420 vs. Other Anesthesia for Procedures on the Knee and Popliteal Area Codes
The CPT 01420 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 01420 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. |
| 01420-CPT | Low | Anesthe For All Cast Applications Remval Or Rpair Invol Kne, Anesthesia For All Cast Applications Removal Or Repair Involving Kne |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01420. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01420 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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