CPT 01963 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 for Obstetric Procedures Anesthesia |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | None AA - Anesthesia by anesthesiologist P3 - A patient with severe systemic disease |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 01963 |
National average anesthesia conversion factor for CPT 01963 by major payers:

$69.86

$55.62

$69.48

$55.25
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 01963 | $54.00 | 1366605875 - NOAH GORDON | 943158784 - (CA) ANESTHESIA CARE ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01963 | $40.00 | 1780064998 - CHRISTOPHER KUEBLER | 956000944 | CA | Anesthesiology Physician (207L00000X) |
United | 01963 | $40.00 | 1346258688 - JOHN O DIMOWO MD INC | 571157937 - (CA) JOHN O DIMOWO MD INC | CA | Anesthesiology Physician (207L00000X) |
United | 01963 | $121.22 | 1245692771 - LAUREN VAJDA | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01963 | $84.66 | 1689037632 - THU NGUYEN | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01963 | $58.52 | 1679597827 - SERGIO GO | 952282647 - (CA) WHITE MEMORIAL MEDICAL CENTER | CA | Anesthesiology Physician (207L00000X) |
United | 01963 | $75.00 | 1558867168 - MICHAEL HUANG | 943158784 - (CA) ANESTHESIA CARE ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01963 | $70.00 | 1700836988 - MORPHEUS ANESTHESIA INC, STOCKTON ANESTHESIA MEDICAL GROUP, INC. | 941700017 - (CA) MORPHEUS ANESTHESIA INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01963 | $86.00 | 1396235560 - SHIREEN NOURI | 954373070 | CA | Anesthesiology Physician (207L00000X) |
United | 01963 | $117.22 | 1811316805 - JOSEPH VILLALUZ | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 01963 | $55.00 | 1104024330 - BENJAMIN BEAL | 237064656 - HEALING THE SOUL | CA | Anesthesiology Physician (207L00000X) |
United | 01963 | $128.69 | 1235636051 - HEMRA CIL | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 01963 | $52.00 | 1134268881 - MATTHEW BARRY | 941502014 - SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL | CA | Anesthesiology Physician (207L00000X) |
United | 01963 | $91.75 | 1629501945 - MANSHU YAN | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 01963 | $83.00 | 1598954190 - TIMOTHY SCHWEITZER | 471884235 - CEP AMERICA | 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 01963 vs. Other Anesthesia Codes
The CPT 01963 code is part of the Anesthesia for Obstetric Procedures services used for Anesthesia. 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 01963 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 |
|---|---|---|
| 01961-CPT | Moderate | Anesthesia For; Cesarean Delivery Only |
| 01962-CPT | Moderate | Anesthesia For; Urgent Hysterectomy Following Delivery |
| 01963-CPT | Moderate | Anesthesia For Uterus Removal, Anesthesia Services For An Abdominal Hysterectomy Performed Immediately After Giving Birth. The Birth Is Usually By C-Section. A Spinal Block (Epidural) May Have Been Given For An Attempted Vaginal Birth. |
| 01965-CPT | Low | Anesthesia For A Miscarriage, Anesthesia Services For Surgical Resolution Of An Incomplete Miscarriage (When Some Material Remains In The Uterus). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01963. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01963 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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