CPT 01680 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 • 21 - Inpatient Hospital • 24 - Ambulatory Surgical Center |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • P1 - A normal healthy patient |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 01680 |
National average anesthesia conversion factor for CPT 01680 by major payers:
$57.13
$55.62
$56.13
$18.17
| 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 01680 | ||||||
United | 01680 | $61.00 | 1649037474 - PREETHY MATHEW | 943281657 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01680 | $57.50 | 1972368892 - AMELIE DELAPORTE | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01680 | $65.00 | 1376543975 - SHAOXIONG LIU | 61655558 | CA | Anesthesiology Physician (207L00000X) |
United | 01680 | $86.00 | 1295091635 - AVIVA REGEV | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01680 | $52.00 | 1114167301 - ALEX LEE | 911220843 - ASSOCIATION OF UNIVERSITY PHYSICIANS | CA | Anesthesiology Physician (207L00000X) |
United | 01680 | $61.00 | 1821836362 - KUNAL JOSHI | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 01680 | $121.22 | 1619408960 - LINDSAY BROWN | 954395492 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01680 | $35.00 | 1922364090 - BRANDON CHARLES | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01680 | $61.00 | 1750594123 - TELFER GRIFFITH | 911319145 - (WA) OLYMPIA ANESTHESIA ASSOCIATES, P.C. | CA | Anesthesiology Physician (207L00000X) |
United | 01680 | $51.00 | 1215955794 - LESLIE STUART | 881191558 - (CA) CORE ANESTHESIA PROVIDER SERVICES PC | CA | Anesthesiology Physician (207L00000X) |
United | 01680 | $58.52 | 1093248353 - DANIEL KANG | 951816017 - (CA) GLENDALE ADVENTIST MEDICAL CENTER | CA | Anesthesiology Physician (207L00000X) |
United | 01680 | $117.22 | 1346205663 - RICHARD KELLY | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 01680 | $70.00 | 1912011545 - REBECCA CLAURE | 260089066 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01680 | $128.69 | 1982863536 - JACK BAIRAMIAN | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 01680 | $86.00 | 1891072070 - DANIEL ORLOVICH | 900939967 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
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 01680 vs. Other Anesthesia for Procedures on the Shoulder and Axilla Codes
The CPT 01680 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 01680 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 01680. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01680 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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