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See a sample rate comparisonHealthcare 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 Anesthesia for Procedures on the Lower Leg (Below Knee) |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center 19 - Off Campus Outpatient Hospital |
| 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 01464 |
| Medicaid Fee Schedule | View Medicaid rates for 01464 |
National average anesthesia conversion factor for CPT 01464 by major payers:

$49.53

$55.68

$55.29

$18.17
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 01464 vs. Other Anesthesia for Procedures on the Lower Leg (Below Knee) Codes
The CPT 01464 code is part of the Anesthesia services used for Anesthesia for Procedures on the Lower Leg (Below Knee). 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 01464 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 |
|---|---|---|
| 01462-CPT | Low | Anesthesia For Leg Procedure, Anesthesia Services For A Procedure Or Surgery Involving The Knee Lower Leg Ankle Or Foot. |
| 01464-CPT | Low | Anesthesia For Joint Procedure, Anesthesia Services For A Noninvasive Procedure Involving A Joint Such As A Scope-Assisted Exam. Common Exam Sites Include Hip Knee Shoulder Wrist Ankle And Elbow. |
| 01470-CPT | Low | Anesth Lower Leg Surgery, Anesthesia For Procedures On Nerves Muscles Tendons And Fascia Of Lower Leg Ankle And Foot Not Otherwise Specified |
| 01472-CPT | Moderate | Anesth Achilles Tendon Surg, Anesthesia For Procedures On Nerves Muscles Tendons And Fascia Of Lower Leg Ankle And Foot Repair Of Ruptured Achilles Tendon With Or Without Graft |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01464. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01464 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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