# CPT 00190

> CPT 00190 is an anesthesia code, so Medicare has no single national rate: payment is (base units + time units) × the locality's anesthesia conversion factor — for example, about $197.89 for a 60-minute case in Dallas, TX under the Q2 2020 release, before sequestration.

## What it is

Anesthesia care for surgery on the bones of the face or skull, when no more specific code applies - covering procedures such as jaw realignment, facial fracture repair, or skull bone reconstruction that fall short of the more extensive radical category nearby. The anesthesia approach depends heavily on the specific bones involved and whether the airway itself is affected by the surgery.

## Selected release

- Release: Q2 2020 (2020 B)
- Effective: April 1 – June 30, 2020
- Status indicator: J
- Office (non-facility) national allowed amount: not published
- Facility national allowed amount: not published
- Sequestration: not applied

## RVUs and formula

- Work RVU: not published
- Office (non-facility) practice expense RVU: not published
- Facility practice expense RVU: not published
- Malpractice RVU: not published
- Conversion factor: 36.0896
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q2 2020)
- CMS file: https://www.cms.gov/files/zip/rvu20b-updated-05012020.zip
- Parsed file: PPRRVU20_APR.csv, row 4,988
- Canonical page: https://localishealth.com/cpt/00190/2020/B
- Release-specific citation URL: https://localishealth.com/cpt/00190/2020/B
- Last significant update: 2026-08-04T03:09:33+00:00