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See a sample rate comparisonCPT 01430 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 Knee Blood Vessel, Anesthesia Services For Procedures Involving The Blood Vessels In And Around The Knee. Examples Of These Procedures Include Repair Of Vessels Removal Of Clots Grafts Or Bypass Construction.
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Knee and Popliteal Area |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | QK - Medical direction of two, three or four concurrent anesthesia procedures QS - Monitored anesthesia care service None |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 01430 |
National average anesthesia conversion factor for CPT 01430 by major payers:
$51.36
$54.10
$56.12
$22.11
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CPT 01430
5 of 25 sample ratesHigher to lower in this preview
Ali Mehdizadeh
Faculty Physicians And Surgeons Of Llusm
$135.50Published rateVictor Duval
$99.00Published rateAnthony Massoll
University Of Alabama Health Services Foundation PC
$74.33Published rateMichelle Harvey
$57.50Published rateAmir Ibrahim
Eisenhower Medical Center
$25.00Published rate
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See a sample payer proposalCPT 01430 vs. Other Anesthesia for Procedures on the Knee and Popliteal Area Codes
The CPT 01430 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 01430 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. |
| 01430-CPT | Low | Anesthesia Knee Blood Vessel, Anesthesia Services For Procedures Involving The Blood Vessels In And Around The Knee. Examples Of These Procedures Include Repair Of Vessels Removal Of Clots Grafts Or Bypass Construction. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01430. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01430 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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