CPT 01850 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 • 21 - Inpatient Hospital |
| Common Modifiers | • None • P3 - A patient with severe systemic disease • QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Low |
National average anesthesia conversion factor for CPT 01850 by major payers:
$57.11
$55.62
$56.09
$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 01850 | ||||||
United | 01850 | $69.62 | 1366948796 - BETTY ERFE | 954540991 - USC CARE MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 01850 | $128.69 | 1861458598 - CLAIRE BRETT | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 01850 | $99.00 | 1285193342 - SERGEY PROGUSHEV | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01850 | $57.50 | 1013411917 - LEO LI | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01850 | $65.00 | 1366475402 - JOSEPH SHUEN | 770414846 - (CA) MODESTO ANESTHESIA MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 01850 | $45.00 | 1740267343 - WAFIK ABDOU | 770411079 - (CA) WAFIK A ABDOU MD INC | CA | Anesthesiology Physician (207L00000X) |
United | 01850 | $121.22 | 1407882939 - HOWARD CHAIT | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01850 | $65.00 | 1649223983 - GANESH PRASAD | 330636378 - (CA) ANESTHESIA CONSULTANTS OF CALIFORNIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01850 | $80.00 | 1902291883 - BRIAN TSE | 871221902 - (CA) EL CAMINO ANESTHESIA | CA | Anesthesiology Physician (207L00000X) |
United | 01850 | $60.00 | 1780789859 - LUKE ROMERO | 770460802 | CA | Anesthesiology Physician (207L00000X) |
United | 01850 | $66.13 | 1821452293 - ISABEL CHANG | 953942828 - (CA) PIH HEALTH PHYSICIANS | CA | Anesthesiology Physician (207L00000X) |
United | 01850 | $86.00 | 1588738421 - DOROTHEA HALL | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01850 | $99.00 | 1679626162 - JOSEPH MELTZER | 954395492 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 01850 | $75.00 | 1487695730 - BARRY ROSE | 943158784 - (CA) ANESTHESIA CARE ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01850 | $99.00 | 1821258138 - ROBERT ELDRIDGE | 954395492 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
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 01850 vs. Other Anesthesia for Procedures on the Forearm, Wrist, and Hand Codes
The CPT 01850 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 01850 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 01850. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01850 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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