CPT 01931 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 | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • P3 - A patient with severe systemic disease • QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 01931 |
National average anesthesia conversion factor for CPT 01931 by major payers:
$59.13
$55.80
$56.99
$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 01931 | ||||||
United | 01931 | $83.00 | 1700819737 - RASHID CAJEE | 471884235 - CEP AMERICA | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $83.00 | 1942569223 - MARCUS VIEIRA | 471884235 - CEP AMERICA | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $134.69 | 1548791718 - SAVONNE SETALSINGH | 800886397 | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $84.66 | 1760494991 - ERIC ZIMMER | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $135.50 | 1689171134 - GEOVANY SIGUENZA | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $50.00 | 1902855901 - BIG SPRING VAMC | 752510465 | TX | General Acute Care Hospital (282N00000X) |
United | 01931 | $128.69 | 1801020391 - JEANIE BHULLER | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $55.00 | 1811284508 - SUSAN YANG | 429538681 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01931 | $52.00 | 1912935701 - BRADFORD THUE | 475031006 | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $67.09 | 1710483201 - TENZING LAMA | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $91.75 | 1548617285 - ROBERT STUMP | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $67.09 | 1326133042 - EDWARD TANG | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $55.50 | 1043338296 - JANE AHN | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01931 | $58.00 | 1225059124 - SIMONA PROCHAZKA | 770376721 - (CA) CYPRESS COAST ANESTHESIA MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $58.00 | 1205880242 - PAIN ASSOCIATES OF MERCED | 200715907 - (CA) PAIN ASSOCIATES OF MERCED | 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 01931 vs. Other Anesthesia for Radiological Procedures Codes
The CPT 01931 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 01931 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 |
| 01931-CPT | Moderate | Anesthesia For Therapeutic Interventional Radiological Procedures Involving The Venous/Lymphatic System (Not To Include Access To The Central Circulation); Intrahepatic Or Portal Circulation (Eg, Transvenous Intrahepatic Portosystemic Shunt(S) (Tips)) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01931. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01931 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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