Medicare expected-payment calculator

Enter a code, ZIP and date of service to get the allowed amount, what Medicare pays, and the CMS file and row behind each figure.

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CPT / HCPCS code

None of the modifiers this calculator prices apply to 01652.

9 don't apply to 01652

-26 Professional component. Professional/technical component concept concept does not apply to this code.
-TC Technical component. Professional/technical component concept concept does not apply to this code.
-50 Bilateral procedure. Bilateral adjustment concept does not apply to this code.
-80 Assistant surgeon (physician). Assistant-at-surgery concept does not apply to this code.
-81 Minimum assistant surgeon (physician). Assistant-at-surgery concept does not apply to this code.
-82 Assistant surgeon (no qualified resident). Assistant-at-surgery concept does not apply to this code.
-AS Assistant at surgery (PA, NP, or CNS). Assistant-at-surgery concept does not apply to this code.
-62 Co-surgeons. Co-surgeon concept does not apply to this code.
-66 Team surgery. Team surgery concept does not apply to this code.

One modifier per line. Pricing -51? Use the MPPR calculator.

Service location

Leave blank for the national baseline.

Date of service

CMS release: 2026 D ·

Place of service

Office (non-facility) Facility

Billed by Physician (MD/DO)

Rendering provider

Payment answer

No amount determinable for 01652

Anesthesia code: paid via base + time units × a separate anesthesia conversion factor, not the standard PFS RVU formula. Supply a locality (and time_minutes for a specific amount) to compute it.

The available evidence does not establish a $0 allowance. Release 2026 D · status J (Anesthesia)

Medicare prices this under the anesthesia formula—(base units + time units) × the locality anesthesia conversion factor—not the standard RVU formula. Choose a locality to see that factor.

View the CMS evidence

Code: 01652
DOS: Not supplied
Locality: National (GPCI 1.000)
Service ZIP: Not supplied
Setting: Office (non-facility)
Participation: Participating provider
Modifiers: None
Units: 1
Release: Q4 2026, revision 2
Sequestration: Shown separately from the allowed amount

Anesthesia code: paid via base + time units × a separate anesthesia conversion factor, not the standard PFS RVU formula. Supply a locality (and time_minutes for a specific amount) to compute it.

Citations

Establishes the PFS status of the base code.

Physician relative value file (PPRRVU)CMS RVU26DOctober 1 – December 31, 2026revision 2

This status record alone does not establish an allowed amount or a coverage determination.

PPRRVU2026_Oct_nonQPP.csv row 247 in rvu26d-updated-08-26-2026.zip

In the CMS file

Loading rows 245–249 of PPRRVU2026_Oct_nonQPP.csv…

Download rvu26d-updated-08-26-2026.zip from CMS File fingerprint 4d0d3f19bd954ffc0f5b8439169d267da023d4f6911f4539bb6e98723cb1a626

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Payment answer

No amount determinable for 01652

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