CPT 01500 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 | • 11 - Office • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • QZ - CRNA service; without medical direction by a physician • None • P3 - A patient with severe systemic disease |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 01500 by major payers:
$53.89
$54.10
$57.00
$55.48
| 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 01500 | ||||||
United | 01500 | $55.00 | 1003857343 - CHING-RONG CHENG | 237064656 - HEALING THE SOUL | CA | Anesthesiology Physician (207L00000X) |
United | 01500 | $63.79 | 1073558565 - HEIDI NICOLL-MERSON | 800154758 - (CA) EAST BAY OPHTHALMIC ANESTHESIA INC | CA | Anesthesiology Physician (207L00000X) |
United | 01500 | $63.00 | 1346240652 - ALAN DEAN | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01500 | $38.00 | 1760727366 - JUSTIN S. TOBIAS M D INC | 710983693 - (CA) JUSTIN S TOBIAS M D INC | CA | Anesthesiology Physician (207L00000X) |
United | 01500 | $80.00 | 1417253386 - MELISSA HAEHN | 871221902 - (CA) EL CAMINO ANESTHESIA | CA | Anesthesiology Physician (207L00000X) |
United | 01500 | $62.00 | 1861429060 - ROBERT POUSMAN | 680238424 - (CA) ANESTHESIA & ANALGESIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01500 | $38.00 | 1740204197 - U.S. DESILVA MD, A MEDICAL | 43807824 - (CA) US DESILVA MD A MEDICAL | CA | Anesthesiology Physician (207L00000X) |
United | 01500 | $65.00 | 1407053663 - SUSAN PAYROVI | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 01500 | $121.22 | 1083000822 - MYROSLAV FIGURA | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01500 | $65.00 | 1922148931 - IAN CARROLL | 770465765 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01500 | $61.00 | 1174650972 - SUSAN YOO | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 01500 | $135.50 | 1114459542 - PHILLIP PEARSON | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 01500 | $61.59 | 1912218199 - ALISON A'COURT | 330417951 | CA | Anesthesiology Physician (207L00000X) |
United | 01500 | $81.44 | 1396108932 - TONY HU | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 01500 | $60.00 | 1629067509 - NIRVANA KUNDU | 275031762 - (OH) FIRST CHOICE ANESTHESIA CONSULTANTS NIRVANA KUNDU MD PC | 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 01500 vs. Other Anesthesia for Procedures on the Lower Leg (Below Knee) Codes
The CPT 01500 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 01500 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 |
| 01500-CPT | Moderate | Anes Art Low Leg Inc Graft Nos |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01500. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01500 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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