CPT 01942 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 • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • QS - Monitored anesthesia care service • QZ - CRNA service; without medical direction by a physician • None |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 01942 by major payers:
$58.28
$362.21
$56.66
$54.44
| 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 01942 | ||||||
United | 01942 | $52.00 | 1366818783 - PHUONG LE | 232700908 - LEHIGH VALLEY PHYSICIAN GROUP | PA | Pain Medicine (Physical Medicine & Rehabilitation) Physician (2081P2900X) |
United | 01942 | $95.00 | 1548552888 - MICHELLE PASAMBA | 463915494 - (NJ) ALLIED DIGESTIVE HEALTH, LLC | CA | Anesthesiology Physician (207L00000X) |
United | 01942 | $134.69 | 1548791718 - SAVONNE SETALSINGH | 800886397 | CA | Anesthesiology Physician (207L00000X) |
United | 01942 | $136.05 | 1609810886 - BHUPENDRA DODHIAWALA | 461617561 - (NY) NORTH SHORE-LIJ ANESTHESIOLOGY PC | CA | Anesthesiology Physician (207L00000X) |
United | 01942 | $60.00 | 1790206415 - AAKASH PATEL | 900603487 - (NY) PHYSICIAN AFFILIATE GROUP OF NEW YORK PC | CA | Anesthesiology Physician (207L00000X) |
United | 01942 | $147.14 | 1164865960 - CHAD ROSEN | 461617561 - (NY) NORTH SHORE-LIJ ANESTHESIOLOGY PC | AZ | Anesthesiology Physician (207L00000X) |
United | 01942 | $117.33 | 1467408302 - EDWARD EISLER | 133544120 - CAREMOUNT MEDICAL, P.C. | CA | Anesthesiology Physician (207L00000X) |
United | 01942 | $90.00 | 1548442601 - PEI-JEN HWANG | 205685365 - (NY) 205 MEDICAL CARE PC | CA | Anesthesiology Physician (207L00000X) |
United | 01942 | $138.00 | 1285669036 - ROBERT RUBINO | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | Obstetrics & Gynecology Physician (207V00000X) |
United | 01942 | $121.00 | 1285669036 - ROBERT RUBINO | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | Obstetrics & Gynecology Physician (207V00000X) |
United | 01942 | $147.14 | 1386962090 - MADHUPAL SANDHU | 461617561 - (NY) NORTH SHORE-LIJ ANESTHESIOLOGY PC | NY | Anesthesiology Physician (207L00000X) |
United | 01942 | $147.14 | 1386962090 - MADHUPAL SANDHU | 461617561 - (NY) NORTH SHORE-LIJ ANESTHESIOLOGY PC | NY | Anesthesiology Physician (207L00000X) |
United | 01942 | $136.58 | 1528045507 - CARROLL CHAMBERS | 232592835 - (PA) CHILDRENS ANESTHESIOLOGY ASSOCIATES LTD | NC | Anesthesiology Physician (207L00000X) |
United | 01942 | $114.08 | 1750369609 - FRANK SCHWALBE | 60646973 - YALE UNIVERSITY | NC | Anesthesiology Physician (207L00000X) |
United | 01942 | $40.00 | 1477895803 - RISHI KOTHARI | 232809585 - JEFFERSON UNIVERSITY PHYSICIANS | 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 01942 vs. Other Anesthesia for Radiological Procedures Codes
The CPT 01942 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 01942 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 | 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 |
| 01939-CPT | Low | Anesthesia For Percutaneous Image-Guided Destruction Procedures By Neurolytic Agent On The Spine Or Spinal Cord; Cervical Or Thoracic |
| 01942-CPT | Moderate | Anesthesia For Percutaneous Image-Guided Neuromodulation Or Intravertebral Procedures (E.G., Kyphoplasty, Vertebroplasty) On The Spine Or Spinal Cord; Lumbar Or Sacral |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01942. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01942 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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