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 for Procedures on the Upper Arm and Elbow Anesthesia |
| 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 |
| Medicare Fee Schedule | View Medicare rates for 01716 |
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 |
|---|---|---|---|---|---|---|
United | 01716 | $38.00 | 1760727366 - JUSTIN S. TOBIAS M D INC | 710983693 - (CA) JUSTIN S TOBIAS M D INC | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $72.00 | 1790913812 - MIKE DHALIWAL | 850106941 - (NM) ST VINCENT HOSPITAL | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $39.00 | 1477893261 - BRITTANY GROVEY | 831746004 - (CA) RELIVE YOU CENTER FOR ADVANCED PAIN MANAGEMENT | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01716 | $70.00 | 1407008097 - CHRISTINE JETTE | 260089066 | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $135.50 | 1871972505 - CHARLES SCHOEPFLIN | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $52.00 | 1457419046 - ADAM WONG | 474116288 - (CA) TORRANCE SURGICAL ALLIANCE INC | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $74.00 | 1083000913 - KURT WAGNER | 952655301 - (CA) ANESTHESIA MEDICAL GROUP OF SANTA BARBARA, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $38.00 | 1013645084 - GLENN SNYDERS, MD, PC | 882687945 - (CA) GLENN SNYDERS MD PC | 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 | $52.00 | 1154575363 - DIBA DANESHRAD | 463842055 - (CA) HP ANESTHESIA INC | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $99.00 | 1699829937 - ROBERT WHITTINGTON | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $38.00 | 1932128931 - ROBERT WOOD | 770476897 - (CA) ROBERT D WOOD MD A PROFESSIONAL CORPORATION | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01716 | $57.50 | 1326281619 - JOHN SHIN | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $44.00 | 1396923017 - REBECCA LYNN GILBERT MD INC. | 261731046 - (CA) REBECCA LYNN GILBERT MD INC | CA | Anesthesiology Physician (207L00000X) |
United | 01716 | $58.52 | 1053733790 - SUSAN ALVAREZ | 952282647 - (CA) WHITE MEMORIAL MEDICAL CENTER | 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 Codes
The CPT 01716 code is part of the Anesthesia for Procedures on the Upper Arm and Elbow services used for Anesthesia. 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 N, Anesthesia For Procedures On Nerves Muscles Tendons Fascia And Bursae Of Upper Arm And Elbow Not Otherwise Specified |
| 01712-CPT | Moderate | Anesthesia For Tendon Repair, Anesthesia Services For Surgery To Repair A Tendon. Examples Include Stretching The Tendon Attaching A Graft And Reattaching The Tendon. |
| 01714-CPT | Moderate | Anesthesia For Tendon Repair, Anesthesia Services For Surgery To Repair A Tendon. Examples Include Stretching The Tendon Attaching A Graft And Reattaching The Tendon. |
| 01716-CPT | Moderate | Anesth Biceps Tendon Repair, 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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