CPT 01420 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 | 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
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 01420 | $65.00 | 1578548236 - JAMES HLAVACEK | 946000524 | CA | Anesthesiology Physician (207L00000X) |
United | 01420 | $121.22 | 1558999219 - JARED KATZ | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01420 | $65.00 | 1700032729 - APARNA DALAL | 330636378 - (CA) ANESTHESIA CONSULTANTS OF CALIFORNIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01420 | $44.00 | 1437312550 - JAMES B SHAW, MD, PC, MD PAIN SPECIALISTS | 262610663 - (CA) JAMES B. SHAW MD, PC | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01420 | $55.00 | 1285976357 - ZACKARY CHANCER | 231365353 - (PA) LANCASTER GENERAL HOSPITAL | CA | Anesthesiology Physician (207L00000X) |
United | 01420 | $113.00 | 1275609547 - PAUL ECKINGER | 941156581 - SUTTER BAY MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01420 | $55.50 | 1972064681 - TAWNY LOUIE | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 01420 | $99.00 | 1235442112 - NIRAV KAMDAR | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01420 | $57.50 | 1679725220 - JACK BUCKLEY | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01420 | $84.66 | 1063436301 - RICHARD UNGER | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01420 | $55.50 | 1821521410 - LINDSEY SENOZAN | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 01420 | $80.00 | 1811067234 - MARK BROWN | 871221902 - (CA) EL CAMINO ANESTHESIA | CA | Anesthesiology Physician (207L00000X) |
United | 01420 | $80.00 | 1861620908 - JOSEPH JOHNSON | 200034003 - (MN) TRIA ORTHOPAEDIC CENTER LLC | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01420 | $38.00 | 1659013381 - PRZYBYSZMED, MONARCH PAIN MANAGEMENT | 834102541 - (CA) PRZYBYSZMED | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01420 | $69.00 | 1306188651 - TYSON SMITH | 680304987 - (CA) NORTHERN CALIFORNIA ANESTHESIA PHYSICIANS, 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 01420 vs. Other Anesthesia Codes
The CPT 01420 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 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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