CPT 01620 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 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 |
National average anesthesia conversion factor for CPT 01620 by major payers:
$57.16
$55.71
$56.49
$54.24
| 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 01620 | ||||||
United | 01620 | $63.43 | 1780110858 - CHRISTOPHER LITTLE | 204700877 | CA | Anesthesiology Physician (207L00000X) |
United | 01620 | $38.00 | 1316018765 - TRUNG NGUYEN | 330930850 - (CA) TRUNG X NGUYEN MD INC | CA | Anesthesiology Physician (207L00000X) |
United | 01620 | $57.50 | 1710129325 - GOLDIE WINGE | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01620 | $99.00 | 1134681992 - JONATHAN DAHAN | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01620 | $61.00 | 1437576634 - JOCELYN WONG | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 01620 | $113.00 | 1801805106 - ETHAN NICHOLLS | 941156581 - SUTTER BAY MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01620 | $38.00 | 1831509256 - KEVIN J. LIEN M.D., INC. | 371751401 - (CA) KEVIN J LIEN MD INC | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01620 | $128.69 | 1730610627 - DOMINIK OCHOCINSKI | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 01620 | $38.00 | 1700950136 - SAMY LOUKA | 474161924 - (CA) PULMONARY CRITICAL CARE ASSOCIATES OF MODESTO INC | CA | Anesthesiology Physician (207L00000X) |
United | 01620 | $59.00 | 1144392853 - PAR ANESTHESIOLOGY MEDICAL CORPORATION | 204038626 - (CA) PAR ANESTHESIOLOGY MEDICAL CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 01620 | $80.00 | 1578875498 - YOUSUN CHUNG | 871221902 - (CA) EL CAMINO ANESTHESIA | CA | Anesthesiology Physician (207L00000X) |
United | 01620 | $86.00 | 1174853477 - PRITUL PATEL | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01620 | $84.66 | 1669483749 - THOMAS KARAGIANES | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01620 | $66.00 | 1659364677 - REGENTS OF THE UNIVERSITY OF CA, REGENTS/UCDPBG/ANESTHESI | 680344702 | CA | Anesthesiology Physician (207L00000X) |
United | 01620 | $78.00 | 1306882493 - WILLIAM LO | 364573347 | 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 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 | Anes Shoulder Axilla Nerves Muscle Tendo |
| 01620-CPT | Low | Anesthesia For All Closed Procedures On Humeral Head And Neck, Sternoclavicular Joint, Acromioclavicular Joint, And Shoulder Joint |
| 01622-CPT | Low | Anes Shoulder Joint Arthroscopy |
| 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 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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