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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 Other Procedures |
| Common Place of Service | 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | None P3 - A patient with severe systemic disease QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 01999 |
| Medicaid Fee Schedule | View Medicaid rates for 01999 |
National average reimbursement for CPT 01999 by major payers:

$191.56

$54.14

$61.23

$76.04
Choose a payer to see a sample of rates for CPT 01999.
Boston Pediatric Neurosurgical Foundation Inc
University Anesthesiologists, S.C.
Lehigh Valley Physician Group
Montefiore Medical Center
Lehigh Valley Physician Group
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
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 01999 vs. Other Anesthesia for Other Procedures Codes
The CPT 01999 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 01999 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 |
| 01999-CPT | Low | Unlisted Anesth Procedure, Unlisted Anesthesia Procedure(S) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01999. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01999 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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