CPT 01991 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 | • 24 - Ambulatory Surgical Center • 22 - On Campus Outpatient Hospital • 11 - Office |
| Common Modifiers | • P3 - A patient with severe systemic disease • QS - Monitored anesthesia care service • QZ - CRNA service; without medical direction by a physician |
| Complexity Level | Low |
National average reimbursement for CPT 01991 by major payers:
$149.17
$54.15
$162.00
$83.26
| 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 01991 | ||||||
United | 01991 | $86.00 | 1326509878 - NANCY BOULOS | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01991 | $54.00 | 1366549602 - DANIEL SWANGARD | 943158784 - (CA) ANESTHESIA CARE ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01991 | $61.00 | 1093451692 - FLORIAN ROQUET | 943281663 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 01991 | $78.00 | 1801057302 - CHRISTOPHER TIRCE | 954656412 - (CA) PACIFIC VALLEY MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 01991 | $62.00 | 1740613355 - JENNY KAN | 852611756 - (CA) OAK CREEK ANESTHESIA SERVICES INC | CA | Anesthesiology Physician (207L00000X) |
United | 01991 | $73.75 | 1679798185 - CYNTHIA YUAN | 352120414 - (IN) ANESTHESIA CONSULTANTS OF INDIANAPOLIS, LLC | CA | Anesthesiology Physician (207L00000X) |
United | 01991 | $52.00 | 1912935701 - BRADFORD THUE | 475031006 | CA | Anesthesiology Physician (207L00000X) |
United | 01991 | $52.00 | 1235138389 - JOEL SALTZMAN | 941754129 - (CA) PEDIATRIC ANESTHESIA ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01991 | $60.00 | 1316142490 - SARAH NAMATH | 770460802 | CA | Anesthesiology Physician (207L00000X) |
United | 01991 | $70.00 | 1104056803 - ZOEL QUINONEZ | 260089066 | CA | Anesthesiology Physician (207L00000X) |
United | 01991 | $99.00 | 1427837665 - ALINE TOUKHTARIAN | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 01991 | $75.00 | 1952340564 - TINA CHIU | 943158784 - (CA) ANESTHESIA CARE ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01991 | $35.00 | 1164868451 - JANE ARCADI | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01991 | $54.00 | 1245273531 - VINCENT SANSONE | 943168453 | CA | Anesthesiology Physician (207L00000X) |
United | 01991 | $58.00 | 1134143001 - WILLIAM WONG | 770376721 - (CA) CYPRESS COAST ANESTHESIA 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 01991 vs. Other Anesthesia for Other Procedures Codes
The CPT 01991 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 01991 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 01991. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01991 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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