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See a sample rate comparisonHealthcare 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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | None QX - Qualified nonphysician anesthetist service: With medical direction by a physician AA - Anesthesia by anesthesiologist |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 01772 |
National average anesthesia conversion factor for CPT 01772 by major payers:

$54.86

$55.62

$56.98

$54.58
Choose a payer to see a sample of rates for CPT 01772.
Pediatric Physicians Services Inc
Toufan Razi Medical Incorporated Dba Pacific Pain Institute
Cedars-Sinai Medical Center
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 01772 vs. Other Anesthesia for Procedures on the Upper Arm and Elbow Codes
The CPT 01772 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 01772 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 |
|---|---|---|
| 01770-CPT | Moderate | Anesthesia Arm Blood Vessel, Anesthesia Services For Procedures Involving The Blood Vessels Of The Upper Arm And Elbow. Examples Of These Procedures Include Removal Of Blood Clots And Repair Of Blood Vessels. |
| 01772-CPT | Moderate | Anesthesia Arm Blood Vessel, Anesthesia Services For Procedures Involving The Blood Vessels Of The Upper Arm And Elbow. Examples Of These Procedures Include Removal Of Blood Clots And Repair Of Blood Vessels. |
| 01780-CPT | Low | Anesthesia Arm Blood Vessel, Anesthesia Services For Procedures Involving The Blood Vessels Of The Upper Arm And Elbow. Examples Of These Procedures Include Removal Of Blood Clots And Repair Of Blood Vessels. |
| 01782-CPT | Low | Anesthesia Arm Blood Vessel, Anesthesia Services For Procedures Involving The Blood Vessels Of The Upper Arm And Elbow. Examples Of These Procedures Include Removal Of Blood Clots And Repair Of Blood Vessels. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01772. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01772 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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