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 for Procedures on the Lower Leg (Below Knee) Anesthesia |
| 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 |
| Medicare Fee Schedule | View Medicare rates for 01474 |
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 |
|---|---|---|---|---|---|---|
United | 01474 | $38.00 | 1134184021 - LAVONNE NICKEL | 1134184021 - (CA) LAVONNE NICKEL | CA | Anesthesiology Physician (207L00000X) |
United | 01474 | $128.69 | 1780606053 - THOHA PHAM | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 01474 | $57.50 | 1336466937 - BRENT ERSHOFF | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01474 | $66.00 | 1164925038 - MURAD ARIF | 272563652 - (CA) ORION ANESTHESIA CONSULTANTS INC | CA | Anesthesiology Physician (207L00000X) |
United | 01474 | $57.50 | 1669412185 - VICTOR DUVAL | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01474 | $117.22 | 1073075040 - SHALINI NAGARAJ | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 01474 | $63.79 | 1780692095 - BRIAN FITCH | 202936136 - (CA) BLUE EAGLE ANESTHESIA INC A PROFESSIONAL CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 01474 | $81.44 | 1629501945 - MANSHU YAN | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 01474 | $96.66 | 1649285321 - LEONARD ALLMOND | 390806261 - THE MEDICAL COLLEGE OF WISCONSIN 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 | $61.00 | 1942336615 - AMY LU | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 01474 | $65.00 | 1639736218 - ELLILE SULTAN | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 01474 | $49.50 | 1982617452 - VALLEY ANESTHESIA ASSOCIATES, INC. | 680538411 - (CA) VALLEY ANESTHESIA ASSOCIATES INC | CA | Anesthesiology Physician (207L00000X) |
United | 01474 | $97.51 | 1013250802 - SHAWN JIA | 455174142 | CA | Anesthesiology Physician (207L00000X) |
United | 01474 | $70.00 | 1871780098 - JIANG-TI KONG | 260089066 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
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 Codes
The CPT 01474 code is part of the Anesthesia for Procedures on the Lower Leg (Below Knee) 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 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 | 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 |
| 01474-CPT | Moderate | Anesth Lower Leg Surgery, 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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