CPT 01772 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 | • 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 |
National average anesthesia conversion factor for CPT 01772 by major payers:
$54.86
$55.62
$56.98
$54.58
| 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 01772 | ||||||
United | 01772 | $86.00 | 1720473036 - VALERIA CARCAMO-CAVAZOS | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01772 | $61.00 | 1205003159 - DANIEL LEUNG | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 01772 | $54.00 | 1780984781 - VAHAN VARTANIAN | 853082840 - (TX) HILL REGIONAL PHYSICIAN GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 01772 | $57.50 | 1538237854 - CHRISTINE MYO BUI | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01772 | $61.59 | 1679832802 - ANTONIO THOMAS | 208314353 - (CA) NORTHSTATE ANESTHESIOLOGY PARTNERS, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01772 | $117.22 | 1952585895 - NAVEEN MEHRA | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 01772 | $99.00 | 1508123522 - SHIRLEY TANG | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01772 | $60.00 | 1679776934 - LYNNA CHOY | 330406164 | CA | Anesthesiology Physician (207L00000X) |
United | 01772 | $113.00 | 1316041726 - JAMES KIM | 680273974 - SUTTER VALLEY MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01772 | $44.00 | 1164491783 - TIM LE | 330941787 - (CA) DIOGENES ANESTHESIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01772 | $65.00 | 1316358179 - AN LA | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 01772 | $117.22 | 1316409022 - DANH LE | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 01772 | $50.00 | 1790743250 - SHAILESH PATEL | 1790743250 - (CA) SHAILESH PATEL | CA | Anesthesiology Physician (207L00000X) |
United | 01772 | $38.00 | 1942278668 - VINOD MUNGALPARA | 711031193 - (CA) UNIVERSAL HEALTHCARE SERVICES, INC. | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01772 | $70.00 | 1083640379 - MELISSA BERHOW | 260089066 | 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 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.
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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