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See a sample rate comparisonCPT 01656 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 Shoulder Artery, Anesthesia Services For Procedures Involving The Blood Vessels Of The Shoulder. These Procedures Can Include Bypass Grafts And Repair Of Bulging Vessels (Aneurysms).
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Shoulder and Axilla |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | None AA - Anesthesia by anesthesiologist QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 01656 |
National average anesthesia conversion factor for CPT 01656 by major payers:
$55.74
$55.62
$57.29
$55.24
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CPT 01656
5 of 25 sample ratesHigher to lower in this preview
Nichlesh Patel
$128.69Published rateGregory Page
Cep America
$83.00Published ratePeter Schmidt
$65.00Published rateSara Weintraub
Healing The Soul
$55.00Published ratePeter Sofia
Eisenhower Medical Center
$25.00Published rate
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See a sample payer proposalCPT 01656 vs. Other Anesthesia for Procedures on the Shoulder and Axilla Codes
The CPT 01656 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 01656 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 |
|---|---|---|
| 01650-CPT | Moderate | Anesthesia Shoulder Artery, Anesthesia Services For Procedures Involving The Blood Vessels Of The Shoulder. These Procedures Can Include Bypass Grafts And Repair Of Bulging Vessels (Aneurysms). |
| 01652-CPT | Moderate | Anesthesia Shoulder Artery, Anesthesia Services For Procedures Involving The Blood Vessels Of The Shoulder. These Procedures Can Include Bypass Grafts And Repair Of Bulging Vessels (Aneurysms). |
| 01654-CPT | Moderate | Anesthesia Shoulder Artery, Anesthesia Services For Procedures Involving The Blood Vessels Of The Shoulder. These Procedures Can Include Bypass Grafts And Repair Of Bulging Vessels (Aneurysms). |
| 01656-CPT | Moderate | Anesthesia Shoulder Artery, Anesthesia Services For Procedures Involving The Blood Vessels Of The Shoulder. These Procedures Can Include Bypass Grafts And Repair Of Bulging Vessels (Aneurysms). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01656. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01656 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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