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See a sample rate comparisonCPT 01938 Fee Schedule
Last Verified: October 2026
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.
Anes Perq Img Njx Drg/Aspir Px Spi/Sp Lmbr/Sac, Anesthesia For Percutaneous Image-Guided Injection Drainage Or Aspiration Procedures On The Spine Or Spinal Cord; Lumba
| 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 |
| Medicare Fee Schedule | View Medicare rates for 01938 |
National average anesthesia conversion factor for CPT 01938 by major payers:
$46.07
$61.61
$56.45
$54.36
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CPT 01938
5 of 25 sample ratesHigher to lower in this preview
Elaine Liew
University Of Wisconsin Medical Foundation Inc
$430.05Published rateAparna Dalal
North Shore-Lij Anesthesiology PC
$147.14Published rateSynergy Anesthesia Ct PLLC
$105.00Published rateXenon Medical PC
$85.00Published rateDanielle Holland
Jefferson University Physicians
$40.00Published rate
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See a sample payer proposalCPT 01938 vs. Other Anesthesia for Radiological Procedures Codes
The CPT 01938 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 01938 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 |
|---|---|---|
| 01937-CPT | Low | Anes Perq Img Njx Drg/Aspir Px Spi/Sp Crv/Thrc, Anesthesia For Percutaneous Image-Guided Injection Drainage Or Aspiration Procedures On The Spine Or Spinal Cord; Cervi |
| 01938-CPT | Low | Anes Perq Img Njx Drg/Aspir Px Spi/Sp Lmbr/Sac, Anesthesia For Percutaneous Image-Guided Injection Drainage Or Aspiration Procedures On The Spine Or Spinal Cord; Lumba |
| 01939-CPT | Low | Anes Perq Img Dstrj Px Nulyt Agt Spi/Sp Crv/Thrc, Anesthesia For Percutaneous Image-Guided Destruction Procedures By Neurolytic Agent On The Spine Or Spinal Cord; Cervica |
| 01940-CPT | Low | Anes Perq Img Dstrj Px Nulyt Agt Spi/Sp Lmbr/Sac, Anesthesia For Percutaneous Image-Guided Destruction Procedures By Neurolytic Agent On The Spine Or Spinal Cord; Lumbar |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01938. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01938 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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