CPT 01486 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 • 21 - Inpatient Hospital • 24 - Ambulatory Surgical Center |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 01486 by major payers:
$57.90
$55.80
$57.06
$54.74
| 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 01486 | ||||||
United | 01486 | $60.00 | 1912993155 - IGOR BRON | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 01486 | $38.00 | 1972657831 - CAPITAL PAIN CONSULTANTS, INC., ROGER B. STEPHENS MD A CALIF PROFESSIONAL CORP | 680150531 - (CA) CAPITAL PAIN CONSULTANTS INC | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01486 | $83.00 | 1417156498 - STEVE LEE | 471884235 - CEP AMERICA | CA | Anesthesiology Physician (207L00000X) |
United | 01486 | $99.00 | 1679626162 - JOSEPH MELTZER | 954377219 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 01486 | $128.69 | 1659568558 - SAMUEL SEIDEN | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 01486 | $56.00 | 1932360476 - NISHEETH VERMA | 464152900 | CA | Anesthesiology Physician (207L00000X) |
United | 01486 | $84.66 | 1821075987 - GUS ATKINS | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01486 | $83.00 | 1982009759 - CEP AMERICA | 471884235 - CEP AMERICA | CA | Anesthesiology Physician (207L00000X) |
United | 01486 | $121.22 | 1053369397 - JONATHAN HO | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01486 | $38.00 | 1457371320 - SCOTT LEVY | 474473879 - (CA) DESERT CITIES ANESTHESIA PROFESSIONALS | CA | Anesthesiology Physician (207L00000X) |
United | 01486 | $92.00 | 1417244336 - CALVIN LEW | 204721272 | CA | Anesthesiology Physician (207L00000X) |
United | 01486 | $35.00 | 1811261175 - ANDREW GELLER | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01486 | $35.00 | 1124524715 - ELNAZ OMRAN | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01486 | $38.00 | 1770555724 - BIHARI SHAH | 953745320 - (CA) SHAH MD, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01486 | $62.00 | 1366708299 - ADRIAN CHASE | 680238424 - (CA) ANESTHESIA & ANALGESIA MEDICAL GROUP, 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 01486 vs. Other Anesthesia for Procedures on the Lower Leg (Below Knee) Codes
The CPT 01486 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 01486 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 |
|---|---|---|
| 01482-CPT | Low | Anesthesia For Open Procedures On Bones Of Lower Leg, Ankle, And Foot; Radical Resection (Including Below Knee Amputation) |
| 01484-CPT | Low | Anes Low Leg Ankle Ft Bone Osteotomy/Pla |
| 01486-CPT | Moderate | Anes Low Leg Ankle Ft Bone Total Ankle R |
| 01490-CPT | Low | Anes Low Leg Cast Apply Repair Remove |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01486. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01486 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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