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 |
| Medicare Fee Schedule | View Medicare rates for 01712 |
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 | $45.00 | 1093032252 - EDOUARD RIVERA | 954526112 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01712 | $84.66 | 1003849761 - THOMAS PIETUCH | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01712 | $61.00 | 1215985650 - GERALD DUBOWITZ | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 01712 | $99.00 | 1265466114 - MOR-DAK CHAN | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01712 | $117.22 | 1306026562 - SHAIVAL PATEL | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 01712 | $117.22 | 1710067806 - RONALD C CELLONA | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | 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 | $86.00 | 1851604631 - LYNN CHOI | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01712 | $70.00 | 1669634226 - XIANG QIAN | 260089066 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01712 | $58.00 | 1730708314 - SHUNELLA LUMAS | 943302014 | CA | Anesthesiology Physician (207L00000X) |
United | 01712 | $38.00 | 1467438036 - ANDREW HESSELTINE | 845181499 - (CA) BL ANDERSON MEDICAL CORPORATION | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01712 | $38.00 | 1639167091 - ISAAC MINEHART | 263181234 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01712 | $71.19 | 1366755621 - MARGARET HOCKETT | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01712 | $128.69 | 1104358225 - CHRISTINE CHOI | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 01712 | $44.00 | 1255346979 - HUNTLEY PAIN SPECIALISTS A MEDICAL CORPORATION | 204323503 - (CA) HUNTLEY PAIN SPECIALISTS, A MEDI | 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 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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