ANESTHESIA BASE UNIT/FEE SCHEDULE Effective 07/01/2018 ...

1 CPT copyright 2018 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Effective 07/01/2019: base Rate $ Time $ of the American Medical Association."CodeBegin DateEnd DateModifier-StatusBase Units/Fee0010010/01/200312/31/9999 base Units50010210/01/200312/31/9999 base Units60010310/01/200312/31/9999 base Units50010410/01/200312/31/9999 base Units40012010/01/200312/31/9999 base Units50012410/01/200312/31/9999 base Units40012610/01/200312/31/9999 base Units40014010/01/200312/31/9999 base Units50014210/01/200312/31/9999 base Units40014410/01/200312/31/9999 base Units60014510/01/200312/31/9999 base Units60014710/01/200312/31/9999 base Units60014810/01/200312/31/9999 base Units40016010/01/200312/31/9999 base

2 Units50016210/01/200312/31/9999 base Units70016410/01/200312/31/9999 base Units40017010/01/200312/31/9999 base Units50017210/01/200312/31/9999 base Units60017410/01/200312/31/9999 base Units60017610/01/200312/31/9999 base Units70019010/01/200312/31/9999 base Units50019210/01/200312/31/9999 base Units70021010/01/200312/31/9999 base Units110021101/01/200912/31/9999 base Units100021210/01/200312/31/9999 base Units50021410/01/200312/31/9999 base Units90021510/01/200312/31/9999 base Units90021610/01/200312/31/9999 base Units150021810/01/200312/31/9999 base Units130022010/01/200312/31/9999 base Units100022210/01/200312/31/9999 base Units60030010/01/200312/31/9999 base Units50032010/01/200312/31/9999 base Units60032210/01/200312/31/9999 base Units30032610/01/200312/31/9999 base Units80035010/01/200312/31/9999 base Units100035210/01/200312/31/9999 base Units50040010/01/200312/31/9999 base Units30040210/01/200312/31/9999 base Units50040410/01/200312/31/9999 base Units50040610/01/200312/31/9999 base Units130041010/01/200312/31/9999 base Units40045010/01/200312/31/9999 base Units50045410/01/200312/31/9999 base Units3"CPT

3 Copyright 2018 American Medical Association. All rights reserved. CPT is a registered ANESTHESIA base UNIT/FEE SCHEDULE Effective 07/01/2019 Print Date 7/2/19 CPT copyright 2018 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical DateEnd DateModifier-StatusBase Units/Fee0047010/01/200312/31/9999 base Units60047210/01/200312/31/9999 base Units100047410/01/200312/31/9999 base Units130050010/01/200312/31/9999 base Units150052010/01/200312/31/9999 base Units60052210/01/200312/31/9999 base Units40052410/01/200312/31/9999 base Units40052810/01/200312/31/9999 base Units80052901/01/200412/31/9999 base Units110053010/01/200312/31/9999 base Units40053210/01/200312/31/9999 base Units40053410/01/200312/31/9999 base Units70053710/01/200312/31/9999 base

4 Units100053910/01/200312/31/9999 base Units180054010/01/200312/31/9999 base Units120054110/01/200312/31/9999 base Units150054210/01/200312/31/9999 base Units150054610/01/200312/31/9999 base Units150054808/01/200412/31/9999 base Units170055010/01/200312/31/9999 base Units100056010/01/200312/31/9999 base Units150056101/01/200512/31/9999 base Units250056210/01/200312/31/9999 base Units200056310/01/200312/31/9999 base Units250056610/01/200312/31/9999 base Units250056701/01/200912/31/9999 base Units180058010/01/200312/31/9999 base Units200060010/01/200312/31/9999 base Units100060410/01/200312/31/9999 base Units130062010/01/200312/31/9999 base Units100062501/01/200712/31/9999 base Units130062601/01/200712/31/9999 base Units150063010/01/200312/31/9999 base Units80063210/01/200312/31/9999 base Units70063510/01/200312/31/9999 base Units40064010/01/200312/31/9999 base Units30067010/01/200312/31/9999 base Units130070010/01/200312/31/9999 base Units40070210/01/200312/31/9999 base Units40073010/01/200312/31/9999 base Units50073101/01/201812/31/9999 base Units50073201/01/201812/31/9999 base Units50075010/01/200312/31/9999 base

5 Units40075210/01/200312/31/9999 base Units60075410/01/200312/31/9999 base Units70075610/01/200312/31/9999 base Units70077010/01/200312/31/9999 base Units150079010/01/200312/31/9999 base Units70079210/01/200312/31/9999 base Units130079410/01/200312/31/9999 base Units80079610/01/200312/31/9999 base Units30 CPT copyright 2018 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical DateEnd DateModifier-StatusBase Units/Fee0079701/01/200212/31/9999 Not Covered100080010/01/200312/31/9999 base Units40080210/01/200312/31/9999 base Units50081101/01/201812/31/9999 base Units40081201/01/201812/31/9999 base Units30081301/01/201812/31/9999 base Units50082010/01/200312/31/9999 base Units50083010/01/200312/31/9999 base Units40083210/01/200312/31/9999 base Units60083410/01/200312/31/9999 base Units50083610/01/200312/31/9999 base Units60084010/01/200312/31/9999 base Units60084210/01/200312/31/9999 base

6 Units40084410/01/200312/31/9999 base Units70084610/01/200312/31/9999 base Units80084810/01/200312/31/9999 base Units80085110/01/200312/31/9999 base Units60086010/01/200312/31/9999 base Units60086210/01/200312/31/9999 base Units70086410/01/200312/31/9999 base Units80086510/01/200312/31/9999 base Units70086610/01/200312/31/9999 base Units100086810/01/200312/31/9999 base Units100087010/01/200312/31/9999 base Units50087210/01/200312/31/9999 base Units70087310/01/200312/31/9999 base Units50088010/01/200312/31/9999 base Units150088210/01/200312/31/9999 base Units100090210/01/200312/31/9999 base Units50090410/01/200312/31/9999 base Units70090610/01/200312/31/9999 base Units40090810/01/200312/31/9999 base Units60091010/01/200312/31/9999 base Units30091210/01/200312/31/9999 base Units50091410/01/200312/31/9999 base Units50091610/01/200312/31/9999 base Units50091810/01/200312/31/9999 base Units50092010/01/200312/31/9999 base Units30092110/01/200312/31/9999 base Units30092210/01/200312/31/9999 base Units60092410/01/200312/31/9999 base Units40092610/01/200312/31/9999 base Units40092810/01/200312/31/9999 base

7 Units60093010/01/200312/31/9999 base Units40093210/01/200312/31/9999 base Units40093410/01/200312/31/9999 base Units60093610/01/200312/31/9999 base Units80093801/01/199712/31/9999 Not Covered40094010/01/200312/31/9999 base Units30094210/01/200312/31/9999 base Units40094410/01/200312/31/9999 base Units6 CPT copyright 2018 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical DateEnd DateModifier-StatusBase Units/Fee0094810/01/200312/31/9999 base Units40095010/01/200312/31/9999 base Units50095210/01/200312/31/9999 base Units40111210/01/200312/31/9999 base Units50112010/01/200312/31/9999 base Units60113010/01/200312/31/9999 base Units30114010/01/200312/31/9999 base Units150115010/01/200312/31/9999 base Units100116010/01/200312/31/9999 base Units40117010/01/200312/31/9999 base Units80117301/01/200412/31/9999 base Units120120010/01/200312/31/9999 base Units40120210/01/200312/31/9999 base

8 Units40121010/01/200312/31/9999 base Units60121210/01/200312/31/9999 base Units100121410/01/200312/31/9999 base Units80121510/01/200312/31/9999 base Units100122010/01/200312/31/9999 base Units40123010/01/200312/31/9999 base Units60123210/01/200312/31/9999 base Units50123410/01/200312/31/9999 base Units80125010/01/200312/31/9999 base Units40126010/01/200312/31/9999 base Units30127010/01/200312/31/9999 base Units80127210/01/200312/31/9999 base Units40127410/01/200312/31/9999 base Units60132010/01/200312/31/9999 base Units40134010/01/200312/31/9999 base Units40136010/01/200312/31/9999 base Units50138010/01/200312/31/9999 base Units30138210/01/200312/31/9999 base Units30139010/01/200312/31/9999 base Units30139210/01/200312/31/9999 base Units40140010/01/200312/31/9999 base Units40140210/01/200312/31/9999 base Units70140410/01/200312/31/9999 base Units50142010/01/200312/31/9999 base Units30143010/01/200312/31/9999 base Units30143210/01/200312/31/9999 base Units60144010/01/200312/31/9999 base Units80144210/01/200312/31/9999 base Units80144410/01/200312/31/9999 base Units80146210/01/200312/31/9999 base

9 Units30146410/01/200312/31/9999 base Units30147010/01/200312/31/9999 base Units30147210/01/200312/31/9999 base Units50147410/01/200312/31/9999 base Units50148010/01/200312/31/9999 base Units30148210/01/200312/31/9999 base Units40148410/01/200312/31/9999 base Units40148610/01/200312/31/9999 base Units7 CPT copyright 2018 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical DateEnd DateModifier-StatusBase Units/Fee0149010/01/200312/31/9999 base Units30150010/01/200312/31/9999 base Units80150210/01/200312/31/9999 base Units60152010/01/200312/31/9999 base Units30152210/01/200312/31/9999 base Units50161010/01/200312/31/9999 base Units501620