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See a sample rate comparisonCPT 01680 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.
Anesthe For Shlder Cast Applica Remval Or Rpair; Not Other, Anesthesia For Shoulder Cast Application Removal Or Repair; Not Other
| 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
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CPT 01680
5 of 25 sample ratesHigher to lower in this preview
Jack Bairamian
$128.69Published rateRichard Kelly
$117.22Published rateLawrence Long
$67.09Published rateAmelie Delaporte
$57.50Published rateChristy Slingwine
Cedars-Sinai Medical Care Foundation
$35.00Published rate
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See a sample payer proposalCPT 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.
| 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). |
| 01680-CPT | Low | Anesthe For Shlder Cast Applica Remval Or Rpair; Not Other, Anesthesia For Shoulder Cast Application Removal Or Repair; Not Other |
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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