CPT 01999 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 • 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 |
National average reimbursement for CPT 01999 by major payers:
$191.56
$54.14
$61.23
$2,384.54
| 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 01999 | ||||||
United | 01999 | $60.00 | 1487692356 - MIDWEST ANESTHESIA PARTNERS, LTD | 364093188 - MIDWEST ANESTHESIA PARTNERS, LLC | IL | Anesthesiology Physician (207L00000X) |
United | 01999 | $49.00 | 1053391094 - ASYA SEGALENE | 362925195 - ALLERGY & ASTHMA OF DUPAGE, S.C. | IL | Allergy Physician (207KA0200X) |
United | 01999 | $62.00 | 1447675251 - PALOS HILLS SURGERY CENTER LLC | 451617538 - PALOS HILLS SURGERY CENTER LLC | IL | Anesthesiology Physician (207L00000X) |
United | 01999 | $65.00 | 1346602406 - JUSTIN MOORE | 43296068 - (MA) BOSTON UNIVERSITY NEUROSURGICAL ASSOCIATES INC | MA | Neurological Surgery Physician (207T00000X) |
United | 01999 | $76.91 | 1245587757 - BENJAMIN RAPOPORT | 800756169 | MA | Neurological Surgery Physician (207T00000X) |
United | 01999 | $75.00 | 1528446465 - RICHARD DOWD | 320367841 | MA | Neurological Surgery Physician (207T00000X) |
United | 01999 | $57.43 | 1811168818 - BARRINGTON ANESTHESIA ASSOCIATES, SC | 363627294 | IL | Anesthesiology Physician (207L00000X) |
United | 01999 | $57.43 | 1255380184 - MIDWEST ANESTHESIA PARTNERS, LLC | 364093188 - MIDWEST ANESTHESIA PARTNERS, LLC | IL | Anesthesiology Physician (207L00000X) |
United | 01999 | $60.00 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 01999 | $75.00 | 1073558136 - UNIVERSITY ANESTHESIOLOGISTS SC | 363117700 - UNIVERSITY ANESTHESIOLOGISTS, S.C. | IL | Anesthesiology Physician (207L00000X) |
United | 01999 | $55.00 | 1215558028 - SANDRA SHINKUT | 900730395 | MI | Family Medicine Physician (207Q00000X) |
United | 01999 | $40.50 | 1972525541 - AJITH THOMAS | 811200310 - (NJ) CAPITAL HEALTH MULTISPECIALTY GROUP | MA | Neurological Surgery Physician (207T00000X) |
United | 01999 | $45.00 | 1578247862 - CELEBRITY ANESTHESIA OF ILLINOIS LLC | 921636262 - CELEBRITY ANESTHESIA OF ILLINOIS LLC | IL | Anesthesiology Physician (207L00000X) |
United | 01999 | $91.69 | 1871523753 - BOSTON PEDIATRIC NEUROSURGICAL FOUNDATION, INC. | 42986097 - (MA) BOSTON PEDIATRIC NEUROSURGICAL FOUNDATION INC | MA | Neurological Surgery Physician (207T00000X) |
United | 01999 | $76.80 | 1265408843 - AMAN PATEL | 42697983 - MASS GENERAL BRIGHAM INCORPORATED | MA | Neurological Surgery Physician (207T00000X) |
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 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 |
|---|---|---|
| 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 |
| 01999-CPT | Low | 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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