CPT 01860 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 • 24 - Ambulatory Surgical Center |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 01860 |
National average anesthesia conversion factor for CPT 01860 by major payers:
$57.11
$55.62
$56.05
$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 01860 | ||||||
United | 01860 | $117.22 | 1629410519 - ELI LUONG | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 01860 | $58.00 | 1336131317 - ELEANOR LAZO | 1336131317 - (CA) ELEANOR LAZO | CA | Anesthesiology Physician (207L00000X) |
United | 01860 | $91.75 | 1932764503 - DYLAN RIVERA | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 01860 | $100.00 | 1447604103 - XIAO LIU | 760462852 - NORTHWEST ANESTHESIOLOGY & PAIN SERVICES, P.A. | CA | Anesthesiology Physician (207L00000X) |
United | 01860 | $67.09 | 1912392291 - DANIELLE HOLLAND | 943281662 | CA | Anesthesiology Physician (207L00000X) |
United | 01860 | $52.00 | 1851948780 - SOCAL ANESTHESIA SOLUTIONS INC | 824843810 - (CA) SOCAL ANESTHESIA SOLUTIONS INC | CA | Anesthesiology Physician (207L00000X) |
United | 01860 | $80.00 | 1730111253 - SWAROOP RANI | 20523788 - (NH) ANESTHESIA CARE GROUP P.C. | CA | Anesthesiology Physician (207L00000X) |
United | 01860 | $69.00 | 1659312908 - JEFFREY SWISHER | 680304987 - (CA) NORTHERN CALIFORNIA ANESTHESIA PHYSICIANS, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01860 | $61.00 | 1730610627 - DOMINIK OCHOCINSKI | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 01860 | $135.50 | 1831519719 - MOHAMMAD HASSANIAN | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 01860 | $117.22 | 1578604328 - TRUNG VU | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 01860 | $65.00 | 1720137763 - HUY PHUN | 330636378 - (CA) ANESTHESIA CONSULTANTS OF CALIFORNIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01860 | $45.00 | 1871813899 - CHRONIC PAIN MANAGEMENT CLINIC A MEDICAL CORPORATION | 272591091 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01860 | $95.61 | 1942443361 - MY LIU | 813679479 | CA | Anesthesiology Physician (207L00000X) |
United | 01860 | $52.00 | 1912935701 - BRADFORD THUE | 1912935701 - (CA) BRADFORD THUE | 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 01860 vs. Other Anesthesia for Procedures on the Forearm, Wrist, and Hand Codes
The CPT 01860 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 01860 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 01860. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01860 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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