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See a sample rate comparisonHealthcare 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 |
| Common Modifiers | None AA - Anesthesia by anesthesiologist QZ - CRNA service; without medical direction by a physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 01969 |
| Medicaid Fee Schedule | View Medicaid rates for 01969 |
National average anesthesia conversion factor for CPT 01969 by major payers:

$67.70

$55.74

$58.76

$54.41
Choose a payer to see a sample of rates for CPT 01969.
Greater Modesto Medical Surgical Associates, Inc
Advocate Health And Hospitals Corporation
Southern Monterey County Memorial Hospital
Kings Physician Services PC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 01969 vs. Other Anesthesia for Obstetric Procedures Codes
The CPT 01969 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 01969 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 |
| 01967-CPT | Moderate | Neuraxl Lbr Anes Vag Dlvr, Neuraxial Labor Analgesia/Anesthesia For Planned Vaginal Delivery (This Includes Any Repeat Subarachnoid Needle Placement And Drug Injection And/Or Any Necessary Replacement Of An Epidural Catheter During Labor) |
| 01968-CPT | Low | Anes/Analg Cs Dlvr Neuraxial, Anesthesia For Cesarean Delivery Following Neuraxial Labor Analgesia/Anesthesia (List Separately In Addition To Code For Primary Procedure Performed) |
| 01969-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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01969. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01969 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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