CPT 01951 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 Burn Excisions or Debridement Procedures |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital • 24 - Ambulatory Surgical Center |
| Common Modifiers | • None • QX - Qualified nonphysician anesthetist service: With medical direction by a physician • QK - Medical direction of two, three or four concurrent anesthesia procedures |
| Complexity Level | Low |
National average anesthesia conversion factor for CPT 01951 by major payers:
$57.13
$55.62
$55.86
$18.17
| 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 01951 | ||||||
United | 01951 | $54.00 | 1801865266 - THOMAS HEIMAN | 1801865266 - (CA) THOMAS HEIMAN | CA | Anesthesiology Physician (207L00000X) |
United | 01951 | $63.00 | 1487097754 - KEVIN CHU | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01951 | $57.50 | 1093009169 - MATTHEW FISCHER | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01951 | $58.00 | 1396822326 - BLUE EAGLE ANESTHESIA INC A PROFESSIONAL CORPORATION | 202936136 - (CA) BLUE EAGLE ANESTHESIA INC A PROFESSIONAL CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 01951 | $35.00 | 1689672768 - ELLIS LAI | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01951 | $35.00 | 1871580795 - ROY MONGKOLPRADIT | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01951 | $58.00 | 1225046352 - ROY BAK | 910545036 - TRI-STATE MEMORIAL HOSPITAL | CA | Anesthesiology Physician (207L00000X) |
United | 01951 | $135.50 | 1255352704 - SHERIF AZER | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 01951 | $93.00 | 1215355144 - MARCI PEPPER | 416011702 - MAYO CLINIC | CA | Anesthesiology Physician (207L00000X) |
United | 01951 | $67.09 | 1821592809 - ELISE DELAGNES | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 01951 | $141.49 | 1942682414 - GALAXY MUDDA | 461617561 - (NY) NORTH SHORE-LIJ ANESTHESIOLOGY PC | CA | Anesthesiology Physician (207L00000X) |
United | 01951 | $65.00 | 1841488814 - ECHO ROWE | 770465765 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01951 | $51.00 | 1093808818 - GARY SCHENCK | 881191558 - (CA) CORE ANESTHESIA PROVIDER SERVICES PC | CA | Anesthesiology Physician (207L00000X) |
United | 01951 | $43.00 | 1215952726 - TOUFAN RAZI | 680477806 - (CA) INTEGRATED PAIN MANAGEMENT MEDICAL GROUP | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01951 | $84.66 | 1427026517 - RANDALL GOSKOWICZ | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, 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 01951 vs. Other Anesthesia for Burn Excisions or Debridement Procedures Codes
The CPT 01951 code is part of the Anesthesia services used for Anesthesia for Burn Excisions or Debridement 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 01951 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 |
| 01951-CPT | Low | Anesthesia For Second- And Third-Degree Burn Excision Or Debridement With Or Without Skin Grafting, Any Site, For Total Body Surface Area (Tbsa) Treated During Anesthesia And Surgery; Less Than 4% Total Body Surface Area |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01951. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01951 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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