CPT 01522 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 | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital • 11 - Office |
| Common Modifiers | • None • P3 - A patient with severe systemic disease • AA - Anesthesia by anesthesiologist |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 01522 by major payers:
$50.77
$54.09
$57.04
$55.33
| 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 01522 | ||||||
United | 01522 | $99.00 | 1023456118 - MICHAEL WOLFE | 953812774 | CA | Anesthesiology Physician (207L00000X) |
United | 01522 | $67.09 | 1659568558 - SAMUEL SEIDEN | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 01522 | $37.00 | 1265416424 - JACK DRUET | 274741511 - (CA) PAINMEDGROUP INC | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01522 | $117.22 | 1871880195 - HAINE KIM | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 01522 | $65.00 | 1265644629 - PAVANDEEP BAGGA | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 01522 | $93.55 | 1174686380 - JOSEPH CAPP | 910565539 - (WA) VIRGINIA MASON MEDICAL CENTER | CA | Anesthesiology Physician (207L00000X) |
United | 01522 | $66.13 | 1396704672 - RICHARD DUONG | 953942828 - (CA) PIH HEALTH PHYSICIANS | CA | Anesthesiology Physician (207L00000X) |
United | 01522 | $121.22 | 1841453321 - ANDREW HUDSON | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01522 | $61.00 | 1184183212 - JONATHAN VILLANUEVA | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 01522 | $66.00 | 1114415361 - SHRINERS HOSPITALS FOR CHILDREN, SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL ANESTHESIA SERVICES | 362193608 - SHRINERS HOSPITALS FOR CHILDREN | CA | Anesthesiology Physician (207L00000X) |
United | 01522 | $128.69 | 1629142583 - ATSUKO BABA | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 01522 | $61.81 | 1063613727 - MICHAEL DYMOND | 742979291 | CA | Anesthesiology Physician (207L00000X) |
United | 01522 | $135.50 | 1194105890 - MING HUANG | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 01522 | $30.00 | 1356381073 - ROSEMARY OMEEGHAN | 330978554 - (CA) NEWPORT CRITICAL CARE PHYSICIANS MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01522 | $128.69 | 1215399589 - DYLAN MASTERS | 943281657 | 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 01522 vs. Other Anesthesia for Procedures on the Lower Leg (Below Knee) Codes
The CPT 01522 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 01522 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 |
|---|---|---|
| 01520-CPT | Low | Anes Vein Low Leg Nos |
| 01522-CPT | Moderate | Anes Vein Low Leg Venous Thrombectomy Di |
| 01630-CPT | Moderate | Anesthesia For Open Or Surgical Arthroscopic Procedures On Humeral Head And Neck, Sternoclavicular Joint, Acromioclavicular Joint, And Shoulder Joint; Not Otherwise Specified |
| 01634-CPT | Moderate | Anesthesia For Open Or Surgical Arthroscopic Procedures On Humeral Head And Neck, Sternoclavicular Joint, Acromioclavicular Joint, And Shoulder Joint; Shoulder Disarticulation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01522. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01522 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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