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See a sample rate comparisonCPT 01758 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.
Anesthesia For Joint Surgery, Anesthesia Services For A Surgery Involving A Joint Such As A Scope-Assisted Exam Repair Of A Broken Bone Or Removal Of A Bone. Joint Surgery May Involve The Hip Knee Shoulder Elbow Wrist Or Neck.
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Upper Arm and Elbow |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| 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 01758 |
National average anesthesia conversion factor for CPT 01758 by major payers:
$57.78
$55.62
$57.03
$54.41
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CPT 01758
5 of 25 sample ratesHigher to lower in this preview
Myroslav Figura
$121.22Published rateJames Xie
$65.00Published ratePremier Anesthesia Medical Group
$57.00Published rateForam Parikh
Valley Childrens Medical Group
$53.00Published rateGovindan Balasubramanian
$35.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 01758 vs. Other Anesthesia for Procedures on the Upper Arm and Elbow Codes
The CPT 01758 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 01758 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 |
|---|---|---|
| 01742-CPT | Moderate | Anesthesia For Joint Surgery, Anesthesia Services For A Surgery Involving A Joint Such As A Scope-Assisted Exam Repair Of A Broken Bone Or Removal Of A Bone. Joint Surgery May Involve The Hip Knee Shoulder Elbow Wrist Or Neck. |
| 01744-CPT | Moderate | Anesthesia For Joint Surgery, Anesthesia Services For A Surgery Involving A Joint Such As A Scope-Assisted Exam Repair Of A Broken Bone Or Removal Of A Bone. Joint Surgery May Involve The Hip Knee Shoulder Elbow Wrist Or Neck. |
| 01756-CPT | Moderate | Anesthesia For Joint Surgery, Anesthesia Services For A Surgery Involving A Joint Such As A Scope-Assisted Exam Repair Of A Broken Bone Or Removal Of A Bone. Joint Surgery May Involve The Hip Knee Shoulder Elbow Wrist Or Neck. |
| 01758-CPT | Moderate | Anesthesia For Joint Surgery, Anesthesia Services For A Surgery Involving A Joint Such As A Scope-Assisted Exam Repair Of A Broken Bone Or Removal Of A Bone. Joint Surgery May Involve The Hip Knee Shoulder Elbow Wrist Or Neck. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01758. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01758 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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