CPT 01716 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 |
| 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 01716 by major payers:
$54.07
$55.70
$56.88
$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 01716 | ||||||
United | 01716 | $99.00 | 1013448653 - JASON COHEN | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $135.50 | 1871972505 - CHARLES SCHOEPFLIN | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $117.22 | 1902395213 - LISA NGUYEN | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $86.00 | 1184666802 - MAGGY RIAD | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $70.00 | 1407008097 - CHRISTINE JETTE | 260089066 | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $54.00 | 1285673855 - PAUL CHULJIAN | 943158784 - (CA) ANESTHESIA CARE ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $66.00 | 1891763470 - KEVIN DANG | 272563652 - (CA) ORION ANESTHESIA CONSULTANTS INC | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $65.00 | 1144626714 - TALBERT ANESTHESIA GROUP INCORPORATED | 472040579 | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $99.52 | 1932283827 - HOLLY MUIR | 954540991 - USC CARE MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $52.00 | 1154575363 - DIBA DANESHRAD | 463842055 - (CA) HP ANESTHESIA INC | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $38.00 | 1083907752 - CHANG-HO CHON | 260719571 - (CA) JOSEPH K KU MD A PROF CORP | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $72.00 | 1790913812 - MIKE DHALIWAL | 850106941 - (NM) ST VINCENT HOSPITAL | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $54.00 | 1902853963 - BETTY LEE-HOANG | 943158784 - (CA) ANESTHESIA CARE ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $58.52 | 1356581482 - SHAHRAM BEROUKHIM | 952282647 - (CA) WHITE MEMORIAL MEDICAL CENTER | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $121.22 | 1326096165 - REGENTS OF THE UNIVERSITY OF CALIFORNIA, UCLA DEPT OF ANESTHESIOULOGY | 954373071 | 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 01716 vs. Other Anesthesia for Procedures on the Upper Arm and Elbow Codes
The CPT 01716 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 01716 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 01716. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01716 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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