CPT 01474 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 • Anesthesia for Procedures on the Lower Leg (Below Knee) |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 24 - Ambulatory Surgical Center • 21 - Inpatient Hospital |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • P3 - A patient with severe systemic disease |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 01474 by major payers:
$57.56
$55.74
$56.67
$54.41
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 01474 | ||||||
United | 01474 | $83.00 | 1336358829 - RUBEN KOSHY | 471884235 - CEP AMERICA | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01474 | $55.50 | 1508016767 - SIYAVASH FOOLADIAN | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 01474 | $41.00 | 1104877083 - STEPHEN YEAGLE | 770500726 - (CA) COMMUNITY ANESTHESIA PROVIDERS MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01474 | $121.22 | 1013544618 - JUNE TONG | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01474 | $128.69 | 1093451692 - FLORIAN ROQUET | 943281663 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 01474 | $121.22 | 1952545535 - JASON HIRSCH | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01474 | $70.00 | 1962429662 - CHANDRA RAMAMOORTHY | 260089066 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01474 | $97.51 | 1013250802 - SHAWN JIA | 455174142 | CA | Anesthesiology Physician (207L00000X) |
United | 01474 | $60.00 | 1861996274 - DAVID VONG | 842910266 - (CA) PROFESSIONAL ANESTHESIA ASSOCIATES PC | CA | Anesthesiology Physician (207L00000X) |
United | 01474 | $38.00 | 1023665213 - EDOUARD E RIVERA MD PC | 842793105 - (CA) EDOUARD E RIVERA MD PC | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01474 | $49.50 | 1982617452 - VALLEY ANESTHESIA ASSOCIATES, INC. | 680538411 - (CA) VALLEY ANESTHESIA ASSOCIATES INC | CA | Anesthesiology Physician (207L00000X) |
United | 01474 | $75.00 | 1609404847 - STEVEN HERRON | 824540051 - (AZ) HOSPITALIST MEDICINE PHYSICIANS OF ARIZONA | CA | Anesthesiology Physician (207L00000X) |
United | 01474 | $74.00 | 1891009247 - ZACHARY WALTON | 43400617 - TUFTS MEDICAL CENTER PARENT INC | CA | Anesthesiology Physician (207L00000X) |
United | 01474 | $67.00 | 1164547972 - LYDIA CRUZ | 454127530 | CA | Anesthesiology Physician (207L00000X) |
United | 01474 | $61.00 | 1477504736 - PEKKA TALKE | 943281663 | 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 01474 vs. Other Anesthesia for Procedures on the Lower Leg (Below Knee) Codes
The CPT 01474 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 01474 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 | Anes Lower Leg Ankle Ft Closed |
| 01464-CPT | Low | Anes Ankle Joint Arthroscopic |
| 01470-CPT | Low | Anesthesia For Procedures On Nerves, Muscles, Tendons, And Fascia Of Lower Leg, Ankle, And Foot; Not Otherwise Specified |
| 01474-CPT | Moderate | Anesthesia For Procedures On Nerves, Muscles, Tendons, And Fascia Of Lower Leg, Ankle, And Foot; Gastrocnemius Recession (Eg, Strayer Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01474. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01474 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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