CPT 01712 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 Upper Arm and Elbow |
| Common Place of Service | • 24 - Ambulatory Surgical Center • 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 | Moderate |
National average anesthesia conversion factor for CPT 01712 by major payers:
$54.29
$55.74
$56.80
$54.41
| 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 01712 | ||||||
United | 01712 | $128.69 | 1245434190 - DOMINIKA MOTAS | 943281660 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01712 | $55.00 | 1427113059 - BEVERLY NEWHOUSE | 237064656 - HEALING THE SOUL | CA | Anesthesiology Physician (207L00000X) |
United | 01712 | $65.69 | 1215022009 - CAROLINE JENSEN | 990327601 - THE ANESTHESIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01712 | $78.00 | 1346566411 - PABLO GUZMAN | 954656412 - (CA) PACIFIC VALLEY MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 01712 | $99.00 | 1265466114 - MOR-DAK CHAN | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01712 | $69.00 | 1962442129 - JENNIFER KING | 330440096 - (CA) NEWPORT HARBOR ANESTHESIA CONSULTANTS MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01712 | $86.00 | 1851604631 - LYNN CHOI | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01712 | $86.00 | 1720473036 - VALERIA CARCAMO-CAVAZOS | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01712 | $45.00 | 1447419833 - YOGESH PATEL | 870737749 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01712 | $69.62 | 1992209225 - ALEXANDER CHEN | 954540991 - USC CARE MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 01712 | $48.00 | 1780727891 - BENNETT MARTIN | 952630277 - (CA) ANESTHESIA MEDICAL GROUP OF RIVERSIDE, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01712 | $70.00 | 1457379851 - WILLIAM TSE | 930579722 - SALEM HEALTH | CA | Anesthesiology Physician (207L00000X) |
United | 01712 | $55.00 | 1295918076 - LISA WILSON | 886000436 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01712 | $67.00 | 1700867298 - JAMES CHANG | 454127530 | CA | Anesthesiology Physician (207L00000X) |
United | 01712 | $117.22 | 1346701323 - SHUN YI WAN | 954401759 | 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 01712 vs. Other Anesthesia for Procedures on the Upper Arm and Elbow Codes
The CPT 01712 code is part of the Anesthesia services used for Anesthesia for Procedures on the Upper Arm and Elbow. 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 01712 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 |
|---|---|---|
| 01710-CPT | Low | Anesthesia For Procedures On Nerves, Muscles, Tendons, Fascia, And Bursae Of Upper Arm And Elbow; Not Otherwise Specified |
| 01712-CPT | Moderate | Anesthesia For Procedures On Nerves, Muscles, Tendons, Fascia, And Bursae Of Upper Arm And Elbow; Tenotomy, Elbow To Shoulder, Open |
| 01714-CPT | Moderate | Anesthesia For Procedures On Nerves, Muscles, Tendons, Fascia, And Bursae Of Upper Arm And Elbow; Tenoplasty, Elbow To Shoulder |
| 01716-CPT | Moderate | Anesthesia For Procedures On Nerves, Muscles, Tendons, Fascia, And Bursae Of Upper Arm And Elbow; Tenodesis, Rupture Of Long Tendon Of Biceps |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01712. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01712 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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