CPT 01968 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 Obstetric Procedures |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital • 23 - Emergency Room • 11 - Office |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • QZ - CRNA service; without medical direction by a physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 01968 |
National average anesthesia conversion factor for CPT 01968 by major payers:
$65.31
$55.67
$65.97
$30.72
| 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 01968 | ||||||
United | 01968 | $121.22 | 1982136107 - HAI PHAM | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01968 | $65.00 | 1376543975 - SHAOXIONG LIU | 272777455 | CA | Anesthesiology Physician (207L00000X) |
United | 01968 | $135.50 | 1114459542 - PHILLIP PEARSON | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 01968 | $60.00 | 1689861445 - ALBERT CHIANG | 770460802 | CA | Anesthesiology Physician (207L00000X) |
United | 01968 | $69.62 | 1003234717 - MELANIE KUSONRUKSA | 954540991 - USC CARE MEDICAL GROUP INC | CA | Anesthesiology Physician (207L00000X) |
United | 01968 | $65.00 | 1558865865 - SHATIRA WILSON | 330500394 - (CA) CALIFORNIA ANESTHESIA ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01968 | $65.00 | 1265490387 - WILLIAM BOHMAN | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 01968 | $67.09 | 1023198439 - ARUNA NATHAN | 943281660 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01968 | $54.00 | 1578772307 - TIMOTHY MURPHY | 943158784 - (CA) ANESTHESIA CARE ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01968 | $53.00 | 1912139320 - JUSTIN HAMRICK | 716046242 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01968 | $38.00 | 1912494717 - CHRISTOPHER WILSON | 510479999 - (CA) PAIN INSTITUTE OF CALIFORNIA | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01968 | $57.50 | 1932141488 - WENDY REN | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01968 | $128.69 | 1437646031 - PAMELA HUANG | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 01968 | $60.00 | 1396816070 - CHRISTOPHER CAMMOCK | 232919472 - UPMC | CA | Anesthesiology Physician (207L00000X) |
United | 01968 | $50.00 | 1427169366 - TARIN MEDICAL CORPORATION | 953533302 - (CA) TARIN MEDICAL CORPORATION | 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 01968 vs. Other Anesthesia for Obstetric Procedures Codes
The CPT 01968 code is part of the Anesthesia services used for Anesthesia for Obstetric 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 01968 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 |
|---|---|---|
| 01960-CPT | Moderate | Anesthesia For; Vaginal Delivery Only |
| 01961-CPT | Moderate | Anesthesia For; Cesarean Delivery Only |
| 01962-CPT | Moderate | Anesthesia For; Urgent Hysterectomy Following Delivery |
| 01968-CPT | Low | Anesthesia For Cesarean Delivery Following Neuraxial Labor Analgesia/Anesthesia (List Separately In Addition To Code For Primary Procedure Performed) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01968. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01968 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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