CPT 01990 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 Other Procedures |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • P6 - A declared brain-dead patient • AA - Anesthesia by anesthesiologist |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 01990 |
National average anesthesia conversion factor for CPT 01990 by major payers:
$58.10
$55.76
$57.07
$54.74
| 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 01990 | ||||||
United | 01990 | $52.00 | 1558588871 - PEDIATRIC ANESTHESIA ASSOCIATES MEDICAL GROUP INC | 941754129 - (CA) PEDIATRIC ANESTHESIA ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01990 | $54.00 | 1851473268 - EDGAR CELIS | 831430046 - (CA) EDGAR CELIS, M.D., INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01990 | $55.00 | 1477059103 - CHRISTIAN SEGER | 237064656 - HEALING THE SOUL | CA | Anesthesiology Physician (207L00000X) |
United | 01990 | $57.50 | 1538665864 - ALEXA LEAN | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01990 | $86.00 | 1245659721 - TINA YU | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01990 | $38.00 | 1811917396 - NAVNEET BODDU | 850591980 - (CA) NAVNEET K BODDU M D A PROFESSIONAL CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 01990 | $128.69 | 1568880607 - JENNIFER WOODBURY | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 01990 | $38.00 | 1861782674 - AFZAAL IQBAL | 862403468 - (CA) AFZAAL IQBAL MD INC | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01990 | $86.00 | 1679514459 - JURE MARIJIC | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01990 | $58.58 | 1912993155 - IGOR BRON | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 01990 | $65.00 | 1366882029 - QILIANG CHEN | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 01990 | $117.22 | 1811216245 - PETER KIM | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 01990 | $61.00 | 1528137296 - UNIVERSITY ANESTHESIA MEDICAL GROUP | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 01990 | $38.00 | 1578674677 - RICHARD KAKES | 731695855 - (CA) M ILBEIGI AND ASSOC MD INC | CA | Anesthesiology Physician (207L00000X) |
United | 01990 | $147.14 | 1033592712 - SANHITA REDDY | 461617561 - (NY) NORTH SHORE-LIJ ANESTHESIOLOGY PC | 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 01990 vs. Other Anesthesia for Other Procedures Codes
The CPT 01990 code is part of the Anesthesia services used for Anesthesia for Other 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 01990 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 |
| 01990-CPT | Moderate | Physiological Support Organ Harvest Brai |
| 01991-CPT | Low | Anesthesia For Diagnostic Or Therapeutic Nerve Blocks And Injections (When Block Or Injection Is Performed By A Different Physician Or Other Qualified Health Care Professional); Other Than The Prone Position |
| 01992-CPT | Moderate | Anesthesia For Diagnostic Or Therapeutic Nerve Blocks And Injections (When Block Or Injection Is Performed By A Different Physician Or Other Qualified Health Care Professional); Prone Position |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01990. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01990 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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