CPT 01622 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 • 11 - Office |
| Common Modifiers | • None • QZ - CRNA service; without medical direction by a physician • QS - Monitored anesthesia care service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 01622 |
National average anesthesia conversion factor for CPT 01622 by major payers:
$49.76
$54.09
$56.83
$56.32
| 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 01622 | ||||||
United | 01622 | $81.44 | 1790103885 - CATRISSA LIGHTFOOT-SIORDIA | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 01622 | $38.00 | 1396064408 - CHARLES DE MESA | 471430281 - (CA) APDO INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01622 | $38.00 | 1720249691 - JAMES KIM | 461598103 - (CA) JAMES A. KIM, MD A PROFESSIONAL MEDICAL CORPORATION | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01622 | $92.00 | 1144202839 - YANHONG ZHOU | 411404075 - MAYO CLINIC | CA | Anesthesiology Physician (207L00000X) |
United | 01622 | $69.00 | 1326415373 - VALERIE AU | 680304987 - (CA) NORTHERN CALIFORNIA ANESTHESIA PHYSICIANS, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01622 | $38.00 | 1609834167 - JOSEPH GRIM | 475167236 - (CA) REGIONAL ANESTHESIA ASSOCIATES INC | CA | Anesthesiology Physician (207L00000X) |
United | 01622 | $58.52 | 1699157297 - GRANT WANG | 952282647 - (CA) WHITE MEMORIAL MEDICAL CENTER | CA | Anesthesiology Physician (207L00000X) |
United | 01622 | $40.00 | 1649535329 - MATTHEW ENG | 721304948 - LOUISIANA STATE UNIVERSITY OF MEDICINE IN NEW ORLEANS | CA | Anesthesiology Physician (207L00000X) |
United | 01622 | $121.22 | 1023456118 - MICHAEL WOLFE | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01622 | $55.50 | 1679649156 - SCOTT MAYFIELD | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 01622 | $25.00 | 1558657361 - ERIN GILES | 956130458 - EISENHOWER MEDICAL CENTER | CA | Anesthesiology Physician (207L00000X) |
United | 01622 | $46.34 | 1700015708 - VICTORIA ZHENG | 824591168 - (CA) TRIAS GLOBAL LLC | CA | Anesthesiology Physician (207L00000X) |
United | 01622 | $35.00 | 1609262666 - NICHOLAS SCHIAVONI | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01622 | $113.00 | 1881612190 - THOMAS GAFFEY | 941156581 - SUTTER BAY MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01622 | $121.22 | 1790720563 - HAMID NOURMAND | 954377219 | 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 01622 vs. Other Anesthesia for Procedures on the Shoulder and Axilla Codes
The CPT 01622 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 01622 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 |
| 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01622. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01622 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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