CPT 01920 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 Radiological Procedures |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • QS - Monitored anesthesia care service • AA - Anesthesia by anesthesiologist |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 01920 by major payers:
$57.86
$55.80
$56.80
$54.74
| 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 01920 | ||||||
United | 01920 | $249.14 | 1972913689 - SANDEEP SABHLOK | 131740114 - MONTEFIORE MEDICAL CENTER | CA | Anesthesiology Physician (207L00000X) |
United | 01920 | $25.50 | 1457856031 - JOSUE GUZMAN | 956130458 - EISENHOWER MEDICAL CENTER | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 01920 | $67.09 | 1396701017 - RICHARD ROWE | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 01920 | $128.69 | 1417322835 - DIETER ADELMANN | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 01920 | $128.69 | 1104647965 - ELIZABETH COLE | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 01920 | $52.50 | 1932341690 - SANG LE | 953777340 - CHILDRENS HOSPITAL LOS ANGELES MEDICAL GROUP INC | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01920 | $55.00 | 1205010030 - IMANUEL LERMAN | 237064656 - HEALING THE SOUL | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01920 | $128.69 | 1558310722 - GEORGE GREGORY | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 01920 | $61.00 | 1265937205 - ORESTES MAVROTHALASSITIS | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 01920 | $81.00 | 1356444897 - REGENTS OF THE UNIVERSITY OF CALIFORNIA, UCSD MEDICAL GROUP | 330702174 | CA | Anesthesiology Physician (207L00000X) |
United | 01920 | $74.00 | 1225458896 - MARC RODRIGUEZ | 43400617 - TUFTS MEDICAL CENTER PARENT INC | CA | Anesthesiology Physician (207L00000X) |
United | 01920 | $54.00 | 1326146705 - NATALIA BALYTSKY | 943168453 | CA | Anesthesiology Physician (207L00000X) |
United | 01920 | $65.00 | 1518943794 - STEVE SHIUE | 931173927 | CA | Anesthesiology Physician (207L00000X) |
United | 01920 | $62.50 | 1023342425 - ANDRE MOTIE | 770134807 - (CA) ANESTHESIA CONSULTANTS OF FRESNO | CA | Anesthesiology Physician (207L00000X) |
United | 01920 | $121.22 | 1093757387 - ALIREZA SADOUGHI | 954377219 | 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 01920 vs. Other Anesthesia for Radiological Procedures Codes
The CPT 01920 code is part of the Anesthesia services used for Anesthesia for Radiological Procedures. 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 01920 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 |
|---|---|---|
| 01916-CPT | Moderate | Anes Arteriorgram Needle Carotid Vertebr |
| 01920-CPT | Moderate | Anesthesia For Cardiac Catheterization Including Coronary Angiography And Ventriculography (Not To Include Swan-Ganz Catheter) |
| 01922-CPT | Moderate | Anesa.4 Computerized Axial Tomography Scan/Magnetic R.Imaging |
| 01924-CPT | Moderate | Anesthesia For Therapeutic Interventional Radiological Procedures Involving The Arterial System; 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 01920. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01920 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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