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 |
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 | $128.69 | 1679967210 - RAPHAEL-JOHN KEEGAN | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $60.00 | 1073977468 - ALEXANDER GIRGIS | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $52.00 | 1235163296 - MITCHELL TAGUCHI | 475031006 | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $50.00 | 1902855901 - BIG SPRING VAMC | 752510465 | TX | General Acute Care Hospital (282N00000X) |
United | 01931 | $60.00 | 1801986377 - SHAILESH SHAH | 923191040 | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $128.69 | 1235170895 - IVAN ZEITZ | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $58.00 | 1225059124 - SIMONA PROCHAZKA | 770376721 - (CA) CYPRESS COAST ANESTHESIA MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $38.00 | 1649222308 - HANH NGUYEN-CLARK | 851396558 - (CA) LOS ANGELES COUNTY MULTISPECIALTY MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $52.00 | 1912935701 - BRADFORD THUE | 475031006 | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $121.22 | 1164928917 - RICHA PARDIKAR | 954373072 | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $128.69 | 1184067258 - PO-YI PAUL SU | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $86.00 | 1669414140 - KEREN ZIV | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $60.00 | 1255449500 - EDWARD CAMPBELL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $86.00 | 1548436462 - HARKIRAT CHAHAL | 954373071 | CA | Anesthesiology Physician (207L00000X) |
United | 01931 | $69.00 | 1255690129 - PAUL RABEDEAUX | 391824445 - UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC | 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 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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