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See a sample rate comparisonHealthcare 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
Choose a payer to see a sample of rates for CPT 01931.
Faculty Physicians And Surgeons Of Llusm
Faculty Physicians And Surgeons Of Llusm
Los Angeles County Multispecialty Medical Group Inc
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 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 | Anesthesia Imaging Procedure, Anesthesia Services For An Imaging Procedure With Or Without Contrast Such As A Ct Scan Bone Scan Or An Mri. Services Also Cover Radiation Therapy Aided By Imaging. |
| 01920-CPT | Moderate | Anesthesia For Heart Imaging, Anesthesia Services To Insert A Thin Tube (Catheter) Into A Heart Blood Vessel. The Catheter Is Used To Deliver Dye For Imaging (Heart Scan). |
| 01922-CPT | Moderate | Anesthesia Imaging Procedure, Anesthesia Services For An Imaging Procedure With Or Without Contrast Such As A Ct Scan Bone Scan Or An Mri. Services Also Cover Radiation Therapy Aided By Imaging. |
| 01931-CPT | Moderate | Anes Ivnt Rad Ntrhpt/Prt Crc, 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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