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See a sample rate comparisonCPT 01991 Fee Schedule
Last Verified: October 2026
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.
Anes Dx/Ther Nrv Blk&Inj Oth, 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
| 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 |
| Medicare Fee Schedule | View Medicare rates for 01991 |
National average reimbursement for CPT 01991 by major payers:
$149.17
$54.15
$162.00
$59.28
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CPT 01991
5 of 25 sample ratesHigher to lower in this preview
Linda Li
$121.22Published rateCarin Mascetti
Faculty Physicians And Surgeons Of Llusm
$81.44Published rateParamount Anesthesia Associates, Inc.
Paramount Anesthesia Associates Inc
$60.00Published rateMelanie Aiken
Valley Regional Anesthesia Associates Inc
$56.00Published rateRodrigo Herreros
Eisenhower Medical Center
$25.00Published rate
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See a sample payer proposalCPT 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 |
|---|---|---|
| 01990-CPT | Moderate | Anesthesia For Organ Donation, Anesthesia Services To Remove A Donor Organ Such As A Kidney For Transplant. Additional Support Is Provided If The Donor Is In An Unresponsive Coma. |
| 01991-CPT | Low | Anes Dx/Ther Nrv Blk&Inj Oth, 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 | Anes Dx/Ther Nrv Blk&Inj Prn, 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 |
| 01996-CPT | Low | Daily Anesthesia Management, Daily Monitoring Of Continuous Medication For Pain Management In An Inpatient Setting. Usually The Medication Is Given By A Spinal Block (Epidural). |
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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