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See a sample rate comparisonCPT 01996 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.
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).
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Other Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None AA - Anesthesia by anesthesiologist GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 01996 |
| Medicaid Fee Schedule | View Medicaid rates for 01996 |
National average reimbursement for CPT 01996 by major payers:
$106.58
$167.03
$172.08
$103.20
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CPT 01996
5 of 25 sample ratesHigher to lower in this preview
Erika Scholtes
Banner-University Medical Group
$338.91Published rateBrian Marasigan
Sandusky Anesthesia, LLC
$228.00Published rateSteven Kallmeyer
St Josephs Hospital And Medical Center
$186.05Published rateJanet Isaacs
$165.38Published rateEdward Campbell
Northern Arizona Healthcare Corporation
$114.00Published rate
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See a sample payer proposalCPT 01996 vs. Other Anesthesia for Other Procedures Codes
The CPT 01996 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 01996 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 01996. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01996 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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