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See a sample rate comparisonCPT 01620 Fee Schedule
Last Verified: October 2026
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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Shoulder and Axilla |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| Common Modifiers | None AA - Anesthesia by anesthesiologist QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 01620 |
National average anesthesia conversion factor for CPT 01620 by major payers:
$57.16
$55.71
$56.49
$54.24
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CPT 01620
5 of 25 sample ratesHigher to lower in this preview
Logan Woodhouse
$117.22Published ratePia Anette Hof
Cep America
$83.00Published rateRegents Of The University Of Ca, Regents/Ucdpbg/Anesthesi
$66.00Published rateAllen Wang
Healing The Soul
$55.00Published rateWilliam Rasmus
Cedars-Sinai Medical Care Foundation
$35.00Published rate
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See a sample payer proposalCPT 01620 vs. Other Anesthesia for Procedures on the Shoulder and Axilla Codes
The CPT 01620 code is part of the Anesthesia services used for Anesthesia for Procedures on the Shoulder and Axilla. 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 01620 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 |
|---|---|---|
| 01610-CPT | Moderate | Anesth Surgery Of Shoulder, Anesthesia For All Procedures On Nerves Muscles Tendons Fascia And Bursae Of Shoulder And Axilla |
| 01620-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. |
| 01622-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. |
| 01634-CPT | Moderate | Anesth Shoulder Joint Amput, 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 01620. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01620 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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