CPT 01670 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 | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital • 19 - Off Campus Outpatient 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 01670 by major payers:
$55.61
$55.62
$57.01
$54.25
| 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 01670 | ||||||
United | 01670 | $81.44 | 1265810055 - SARA ABU-TABIKH | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 01670 | $61.00 | 1285644419 - BRIAN CHEN | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 01670 | $99.00 | 1427510973 - JESSICA LIU | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01670 | $84.66 | 1306057567 - DEVJANI SAHA | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01670 | $40.00 | 1477895803 - RISHI KOTHARI | 232809585 - JEFFERSON UNIVERSITY PHYSICIANS | CA | Anesthesiology Physician (207L00000X) |
United | 01670 | $86.00 | 1285130559 - TYLER JONES | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01670 | $83.00 | 1790401438 - CEP AMERICA | 471884235 - CEP AMERICA | CA | Anesthesiology Physician (207L00000X) |
United | 01670 | $50.00 | 1649223983 - GANESH PRASAD | 273068347 | CA | Anesthesiology Physician (207L00000X) |
United | 01670 | $82.00 | 1700950136 - SAMY LOUKA | 273597066 - FIRST CHOICE PHYSICIAN PARTNERS | CA | Anesthesiology Physician (207L00000X) |
United | 01670 | $91.75 | 1235257999 - DAVINDER RAMSINGH | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 01670 | $84.66 | 1750495081 - JOSEPH KELLEHER | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01670 | $79.19 | 1508158379 - STACY DE LA MOTTE | 931048304 - (OR) BEND ANESTHESIOLOGY GROUP, P.C. | CA | Anesthesiology Physician (207L00000X) |
United | 01670 | $117.22 | 1710515861 - JACY GRESSEN | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 01670 | $128.69 | 1699730416 - MICHAEL GROPPER | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 01670 | $65.00 | 1316965882 - SARAH WALTON | 742620408 - (TX) CHILDRENS PHYSICIAN SERVICES OF SOUTH TEXAS | CA | Pediatric Anesthesiology Physician (207LP3000X) |
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 01670 vs. Other Anesthesia for Procedures on the Shoulder and Axilla Codes
The CPT 01670 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 01670 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01670. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01670 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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