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 |
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 | $76.80 | 1083626907 - ANN-CHRISTINE DUHAIME | 42697983 - MASS GENERAL BRIGHAM INCORPORATED | MA | Neurological Surgery Physician (207T00000X) |
United | 01999 | $91.69 | 1538149687 - JOSEPH MADSEN | 42986097 - (MA) BOSTON PEDIATRIC NEUROSURGICAL FOUNDATION INC | MA | Neurological Surgery Physician (207T00000X) |
United | 01999 | $48.00 | 1396992004 - JASON RAHAL | 43170333 - (MA) COASTAL MEDICAL ASSOCIATES INC | MA | Neurological Surgery Physician (207T00000X) |
United | 01999 | $67.50 | 1255699963 - CELINA CRISMAN | 131740114 - MONTEFIORE MEDICAL CENTER | MA | Neurological Surgery Physician (207T00000X) |
United | 01999 | $76.80 | 1699766238 - HOWARD WEINER | 42312909 - MASS GENERAL BRIGHAM INCORPORATED | MA | Neurological Surgery Physician (207T00000X) |
United | 01999 | $76.80 | 1851379010 - LAWRENCE BORGES | 42807148 - MASS GENERAL BRIGHAM INCORPORATED | MA | Neurological Surgery Physician (207T00000X) |
United | 01999 | $52.00 | 1245541267 - SIMON MORR | 131974191 - (NY) BRONXCARE HEALTH SYSTEM | MA | Neurological Surgery Physician (207T00000X) |
United | 01999 | $60.00 | 1780648535 - MARC FRIEDBERG | 43213343 - (MA) NEUROSURGICAL CONSULTANTS, INC. | MA | Neurological Surgery Physician (207T00000X) |
United | 01999 | $76.80 | 1437344132 - PIER PAOLO PERUZZI | 42312909 - MASS GENERAL BRIGHAM INCORPORATED | MA | Neurological Surgery Physician (207T00000X) |
United | 01999 | $49.43 | 1588892533 - ANDREW YEW | 42704683 - (MA) LAHEY CLINIC INC | MA | Neurological Surgery Physician (207T00000X) |
United | 01999 | $66.00 | 1063853901 - DUSTIN DONNELLY | 204881619 - UNIVERSITY HOSPITALS HEALTH SYSTEM INC | MA | Neurological Surgery Physician (207T00000X) |
United | 01999 | $52.00 | 1972576239 - EMAD ESKANDAR | 131740114 - MONTEFIORE MEDICAL CENTER | MA | Neurological Surgery Physician (207T00000X) |
United | 01999 | $75.00 | 1528446465 - RICHARD DOWD | 320367841 | MA | Neurological Surgery Physician (207T00000X) |
United | 01999 | $76.80 | 1851379010 - LAWRENCE BORGES | 42697983 - MASS GENERAL BRIGHAM INCORPORATED | MA | Neurological Surgery Physician (207T00000X) |
United | 01999 | $76.80 | 1174558449 - WILLIAM BUTLER | 42807148 - 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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