CPT 01937 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 | • 24 - Ambulatory Surgical Center • 11 - Office • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • QS - Monitored anesthesia care service • QZ - CRNA service; without medical direction by a physician • AA - Anesthesia by anesthesiologist |
| Complexity Level | Low |
National average anesthesia conversion factor for CPT 01937 by major payers:
$47.47
$61.61
$56.60
$54.37
| 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 01937 | ||||||
United | 01937 | $52.00 | 1902333271 - NIKITA NAYYAR | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 01937 | $147.14 | 1700032729 - APARNA DALAL | 461617561 - (NY) NORTH SHORE-LIJ ANESTHESIOLOGY PC | CA | Anesthesiology Physician (207L00000X) |
United | 01937 | $114.26 | 1982985479 - PAUL RIEGELHAUPT | 131623978 | CA | Anesthesiology Physician (207L00000X) |
United | 01937 | $40.00 | 1477895803 - RISHI KOTHARI | 232809585 - JEFFERSON UNIVERSITY PHYSICIANS | CA | Anesthesiology Physician (207L00000X) |
United | 01937 | $141.49 | 1114389749 - GREGORY SHEEHAN | 461617561 - (NY) NORTH SHORE-LIJ ANESTHESIOLOGY PC | CA | Anesthesiology Physician (207L00000X) |
United | 01937 | $87.55 | 1598027005 - SOROSCH DIDEHVAR | 223146927 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01937 | $44.00 | 1821024506 - NICOLE YI | 150532220 - (NY) OSWEGO HOSPITAL | CA | Anesthesiology Physician (207L00000X) |
United | 01937 | $249.14 | 1972913689 - SANDEEP SABHLOK | 131740114 - MONTEFIORE MEDICAL CENTER | CA | Anesthesiology Physician (207L00000X) |
United | 01937 | $100.00 | 1790016772 - NEHA PATEL | 133884168 - WESTCHESTER MEDICAL GROUP, P.C. D/B/A WESTMED MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 01937 | $135.89 | 1467408302 - EDWARD EISLER | 133544120 - CAREMOUNT MEDICAL, P.C. | CA | Anesthesiology Physician (207L00000X) |
United | 01937 | $87.55 | 1881011138 - SHO TANAKA | 223146927 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 01937 | $95.00 | 1891009247 - ZACHARY WALTON | 61411029 - (CT) CONNECTICUT GI, P.C. | CA | Anesthesiology Physician (207L00000X) |
United | 01937 | $102.00 | 1952017113 - SYNERGY ANESTHESIA CT PLLC | 921303042 - (CA) SYNERGY ANESTHESIA CT PLLC | CA | Anesthesiology Physician (207L00000X) |
United | 01937 | $52.00 | 1437610490 - ADELA PEREZ | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 01937 | $52.00 | 1437324514 - ARPNA DAVE' | 933857635 - (CA) MOCHI MEDICAL NJ PC | 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 01937 vs. Other Anesthesia for Radiological Procedures Codes
The CPT 01937 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 01937 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 |
|---|---|---|
| 01932-CPT | Moderate | Anesthesia For Therapeutic Interventional Radiological Procedures Involving The Venous/Lymphatic System (Not To Include Access To The Central Circulation); Intrathoracic Or Jugular |
| 01933-CPT | Moderate | Anesthesia For Therapeutic Interventional Radiological Procedures Involving The Venous/Lymphatic System (Not To Include Access To The Central Circulation); Intracranial |
| 01937-CPT | Low | Anesthesia For Injection, Drainage Or Aspiration Procedures On Spine Or Spinal Cord Of Neck Or Upper Back Accessed Through Skin Using Imaging Guidance |
| 01938-CPT | Low | Anesthesia For Injection, Drainage Or Aspiration Procedures On Spine Or Spinal Cord Of Lower Back Accessed Through Skin Using Imaging Guidance |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01937. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01937 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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