CPT 01852 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 • 19 - Off Campus Outpatient Hospital |
| Common Modifiers | • None • P2 - A patient with mild systemic disease • QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Low |
National average anesthesia conversion factor for CPT 01852 by major payers:
$56.48
$55.62
$57.00
$54.25
| 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 01852 | ||||||
United | 01852 | $45.00 | 1215148630 - BRENNAN KATZ | 450644420 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01852 | $60.00 | 1396754578 - BARBARA SMITH | 811684142 | CA | Anesthesiology Physician (207L00000X) |
United | 01852 | $117.22 | 1033522032 - STACI BECKER | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 01852 | $70.00 | 1285934455 - SARA WILLIAMS | 260089066 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01852 | $65.00 | 1629173984 - BRIDGET PHILIP | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 01852 | $38.00 | 1336137934 - GEORGE GRAF | 721565665 - (CA) ADVANCED PAIN TREATMENT AND DIAGNOSTICS MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 01852 | $54.00 | 1598713356 - VINCENT CAMPITELLI | 943168453 | CA | Anesthesiology Physician (207L00000X) |
United | 01852 | $35.00 | 1528300753 - GABRIEL POLLOCK | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01852 | $128.69 | 1730321092 - NICHLESH PATEL | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 01852 | $99.52 | 1184669426 - TAWFIK AYOUB | 954540991 - USC CARE MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 01852 | $128.69 | 1366707184 - TINA DONG | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 01852 | $99.00 | 1134681992 - JONATHAN DAHAN | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01852 | $117.22 | 1801187091 - TAIZOON DHOON | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 01852 | $40.00 | 1770860587 - KEYES MEDICAL SERVICES A PROFESSIONAL CORPORATION | 275136725 - (CA) KEYES MEDICAL SERVICES A PROFESSIONAL CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 01852 | $55.50 | 1508307869 - JEAN VO | 954401759 | 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 01852 vs. Other Anesthesia for Procedures on the Forearm, Wrist, and Hand Codes
The CPT 01852 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 01852 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 01852. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01852 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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