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    OpenPayerBilling CodesAnesthesia for Procedures on the Knee and Popliteal AreaCPT cpt-01390-anesthesia-closed-procedure-tibia-fibula-patella
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    CPT 01390: Anesthesia for Closed Procedure of Upper Tibia/Fibula/Patella

    Commercial payers pay $81 on average nationally for this procedure.

    CPT code 01390 describes anesthesia services provided for any closed procedure of the upper end of the tibia, fibula, and/or patella, typically reflecting intraoperative anesthesia management for procedures on the proximal tibia/fibula or patella; service type: anesthesia for closed orthopedic procedures; typical site of service: hospital operating room or ambulatory surgery center during knee-related closed procedures such as reductions, closed fracture management, or arthroscopy focused on the proximal tibial/fibular or patellar region.

    For related coverage guidance, see recent payer policy updates: Dental Anesthesia Services, Anesthesia Services for Interventional Pain Management Procedures in an Adult, General Anesthesia and Conscious Sedation Services.

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    National Reimbursement Benchmarks

    National commercial rates for CPT 01390 center near BUCA’s average commercial rate of $80.7, with notable variation among major carriers. Cigna’s mean of $96.1 sits above BUCA, while Blue Cross Blue Shield and Aetna have means of $81.7 and $74.5 respectively; UnitedHealth Group’s mean is lower at $68.3. Maximums and minimums vary by payer, but BUCA provides a convenient average commercial reference point at $80.7.

    Dispersion (P75 minus P25) highlights where rates are most and least concentrated: Aetna’s dispersion is $58.0, Blue Cross Blue Shield’s is $46.7, BUCA’s is $44.1, Cigna’s is $46.6, and UnitedHealth Group’s is $31.4. UnitedHealth Group shows the tightest upper‑to‑lower quartile spread at $31.4, indicating the most concentrated commercial range, while Aetna is the widest at $58.0, reflecting greater variability between typical lower and upper commercial rates.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 62-year-old patient with chronic right knee pain from longstanding primary osteoarthritis (M17.11) presents for an orthopedic closed procedure addressing tibial plateau subchondral cyst debridement and percutaneous fixation of an associated tibial fracture fragment. Preoperative evaluation by the anesthesia team documents medical history, medications, airway assessment, and ASA physical status P2 for controlled hypertension. The patient is brought to an ambulatory surgery center (typical site of service) where the orthopedist performs a closed reduction and percutaneous fixation of the upper tibia and patella fragment under fluoroscopic guidance. The anesthesia provider (an anesthesiologist or Certified Registered Nurse Anesthetist) administers monitored general anesthesia with endotracheal intubation and intraoperative hemodynamic management, including regional block supplementation as indicated. Postoperative handoff includes documentation of anesthesia technique, intraoperative events, estimated blood loss, and postoperative pain plan before transfer to the PACU for recovery and same-day discharge if stable.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    01382Anesthesia for procedures on the knee and popliteal area – provider performs anesthesia services for a diagnostic arthroscopic procedure of the knee joint.

    Related Modifiers

    8 rows

    ModifierDescriptionWhen to Use
    23Modifier -23 (Unusual Anesthesia) is used on anesthesia service CPT codes when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia…- Use modifier -23 only on anesthesia CPT codes (00100–01999) when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia because of…
    50Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    54Modifier ‑54 (“Surgical care only”) is appended to a CPT surgical procedure when the reporting surgeon performs the intraoperative (surgical) component but does not furnish the preoperative and/or…- Use modifier -54 when the reporting surgeon provided only the intraoperative (surgical) component of a procedure and preoperative and/or postoperative management has been or will be provided by…
    55Modifier –55 indicates the billing provider furnished only postoperative management for a procedure that has a global surgical period. According to AAPC, this modifier is appended to the same CPT…- Use modifier -55 when billing the same CPT surgical code that has a 10- or 90-day global period and you, as a provider other than the original surgeon, furnished ONLY postoperative management (no…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
    78CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    207L00000X
    367500000X
    207RA0401X
    163WX1500X
    163WE0003X
    173C00000X
    364SG0600X
    163WA2000X

    Related Payer Policy Updates

    Specialty: Anesthesiology1 / 3

    10 rows

    PolicyPayerEffective Date
    Dental Anesthesia ServicesProvidence Health Plan2026-10-01
    Anesthesia Services for Interventional Pain Management Procedures in an AdultCigna2026-09-15
    General Anesthesia and Conscious Sedation ServicesUnitedHealthcare2026-09-01
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use DisordersPremera Bluecross2026-07-01
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use DisordersPremera Bluecross2026-07-01
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use DisordersPremera Bluecross2026-07-01
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use DisordersPremera Bluecross2026-07-01
    Elective Inpatient Services (for Idaho Only)UnitedHealthcare2026-06-01
    Sites of Servicepriority health2026-06-01
    Coverage for Ambulatory Surgery Unit (ASU)/Outpatient Facility and Anesthesia for Dental Servicesuniverahealthcare2026-05-21

    Related Codes

    CPT-01320-ANESTHESIA-FOR-KNEE-POPLITEAL-SOFT-TISSUE-PROCEDURES

    CPT 01320: Anesthesia for Procedures on Knee and Popliteal Area

    CPT-01340-ANESTHESIA-CLOSED-PROCEDURE-LOWER-THIRD-FEMUR

    CPT 01340: Anesthesia for Closed Procedure of Lower One-Third of Femur

    CPT-01360-ANESTHESIA-OPEN-PROCEDURE-LOWER-FEMUR

    CPT 01360: Anesthesia for Open Procedure on Lower Femur

    CPT-01380-ANESTHESIA-CLOSED-KNEE-PROCEDURE

    CPT 01380: Anesthesia for Closed Procedure of Knee Joint

    CPT-01382-ANESTHESIA-DIAGNOSTIC-ARTHROSCOPY-KNEE

    CPT 01382: Anesthesia for Diagnostic Arthroscopic Procedure of Knee

    CPT-01392-ANESTHESIA-OPEN-PROCEDURE-UPPER-TIBIA-FIBULA-PATELLA

    CPT 01392: Anesthesia for Open Upper Tibia/Fibula/Patella Procedure

    CPT-01400-ANESTHESIA-FOR-KNEE-SURGERY-OPEN-OR-ARTHROSCOPIC

    CPT 01400: Anesthesia for Open or Arthroscopic Knee Procedure

    CPT-01402-ANESTHESIA-TOTAL-KNEE-ARTHROPLASTY

    CPT 01402: Anesthesia for Total Knee Arthroplasty

    CPT-01404-ANESTHESIA-FOR-KNEE-JOINT-SURGERY

    CPT 01404: Anesthesia for Open or Arthroscopic Knee Procedure

    CPT-01420-ANESTHESIA-FOR-KNEE-INCLUDING-CAST-APPLICATION-REMOVAL-REPAIR

    CPT 01420: Anesthesia for Application/Removal/Repair of Knee-Including Cast

    Showing 1–10 of 15

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Used when an arthroscopic diagnostic or therapeutic knee procedure is performed in the same surgical episode instead of or in addition to closed tibial/patellar work.
    01392Anesthesia for procedures on the knee and popliteal area – provider performs anesthesia services for any open procedure of the upper ends of the tibia, fibula, and/or the patella.Applies when the planned procedure is converted to or performed as an open procedure on the proximal tibia/fibula/patella rather than a closed technique.
    01380Anesthesia for procedures on the knee and popliteal area – provider performs anesthesia services for any closed procedure of the knee joint.Related for closed procedures confined to the knee joint; choose 01390 when the closed procedure specifically involves the upper tibia, fibula, and/or patella.