CPT 01820 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 Forearm, Wrist, and Hand |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 24 - Ambulatory Surgical Center • 21 - Inpatient Hospital |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • P1 - A normal healthy patient |
| Complexity Level | Low |
National average anesthesia conversion factor for CPT 01820 by major payers:
$56.97
$55.69
$55.11
$18.17
| 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 01820 | ||||||
United | 01820 | $117.22 | 1891157269 - GABRIEL REYES | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 01820 | $35.00 | 1295733657 - ROBERT ROGERS | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01820 | $60.00 | 1497289938 - BENJAMIN KUO | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 01820 | $75.00 | 1285160432 - DIANE DAO | 943158784 - (CA) ANESTHESIA CARE ASSOCIATES MEDICAL GROUP, INC. | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01820 | $52.00 | 1114022704 - GILBERT ALMARAZ | 208458931 - (CA) ANESTHESIA CONSULTANTS OF THE DESERT INC | CA | Anesthesiology Physician (207L00000X) |
United | 01820 | $86.00 | 1336402320 - LOUIS SADDIC | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01820 | $57.50 | 1972130771 - NICHOLAS BACHER | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01820 | $60.00 | 1255317715 - PAUL KREIS | 680344702 | CA | Anesthesiology Physician (207L00000X) |
United | 01820 | $35.00 | 1689672768 - ELLIS LAI | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01820 | $65.00 | 1407016330 - JULIAN MEDINA | 911885077 - (CA) COASTAL ANESTHESIOLOGY MEDICAL ASSOCIATES 401(K) | CA | Anesthesiology Physician (207L00000X) |
United | 01820 | $30.00 | 1194722611 - STANLEY CHOU | 263088481 - (CA) PACIFIC COMPREHENSIVE PAIN MANAGEMENT INC | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01820 | $63.79 | 1215131818 - CHOU YANG | 270271872 | CA | Anesthesiology Physician (207L00000X) |
United | 01820 | $58.00 | 1063653582 - WILSON LY | 943302014 | CA | Anesthesiology Physician (207L00000X) |
United | 01820 | $41.00 | 1467421578 - RENATO BARGA | 770500726 - (CA) COMMUNITY ANESTHESIA PROVIDERS MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01820 | $70.00 | 1689716524 - BRENDA GOLIANU | 260089066 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
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 01820 vs. Other Anesthesia for Procedures on the Forearm, Wrist, and Hand Codes
The CPT 01820 code is part of the Anesthesia services used for Anesthesia for Procedures on the Forearm, Wrist, and Hand. 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 01820 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 |
|---|---|---|
| 01810-CPT | Low | Anes Forearm Wrist Hand Nerve Muscle Ten |
| 01820-CPT | Low | Anes Radius Ulna Wrist Hand Closed Nos |
| 01829-CPT | Low | Anesthesia For Diagnostic Arthroscopic Procedures On The Wrist |
| 01830-CPT | Low | Anesthesia For Open Or Surgical Arthroscopic/Endoscopic Procedures On Distal Radius, Distal Ulna, Wrist, Or Hand Joints; Not Otherwise Specified |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01820. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01820 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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