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Describe a service in plain words, or type a CPT/HCPCS code.

Anesthesia for Brain Surgery, Not Otherwise Specified

CPT 00210

Reported when an anesthesia professional covers intracranial (brain) surgery that is not an emergency trauma case or a subdural tap.

No national payment 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.

~$550.31 for a 240-minute example case in Dallas, TX

Source

Where this example comes from

(base_units + time_units) × anesthesia_cf × locality_adjuster

base_units
11
time_units
16
anesthesia_cf
20.35
locality_adjuster
1.0016
amount
$550.31

time_units = time_minutes / 15.

locality_adjuster = 0.787 × work_gpci + 0.147 × pe_gpci + 0.066 × mp_gpci.

Anesthesia has no single national rate — payment is (base units + time units) × the locality's anesthesia conversion factor, so the amount above is an example computed with Dallas, TX rates, before sequestration. Enter your ZIP for your own locality's number.

How much does Medicare pay for CPT 00210?

CPT 00210 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 $550.31 for a 240-minute case in Dallas, TX under the Q4 2025 release, before sequestration.

How often 00210 is billed

Across Original Medicare in CY2024, 00210 ranked #923 of the 7,879 CPT codes billed to Medicare that year, ranked by patients served or total allowed dollars. Patients who received it in 2024 were billed for it an average of 1.5 times that year — more than once per patient.

Beneficiaries
22,812
Office + facility patients combined
Services
34,540
Times it was billed
Allowed
$13.8M
Total Medicare allowed dollars

2024 Medicare fee-for-service only, national totals — Medicare Advantage, Medicaid and commercial volume are excluded, so real-world use runs higher. This is a calendar-year snapshot from the CMS Physician & Other Practitioners dataset, on a different cycle from the Q4 2025 fee schedule the rates above come from.

Common questions

Why is there no payment amount for 00210?

Its status indicator is J (anesthesia). Medicare prices this under the anesthesia formula — (base units + time units) × the locality anesthesia conversion factor — not the standard RVU formula. Ask for a locality to see that factor. The blank is deliberate: the amount is either unknown or paid under another provision, so reading it as $0 would be wrong.

When does this rate change?

CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files.

Saw this code on your bill?

What is a 00210 visit in patient-friendly terms?

In plain terms: Anesthesia care for surgery inside the skull on the brain itself, when no more specific intracranial-anesthesia code applies - the general entry for this highest-acuity category, distinct from the dedicated codes nearby for emergency evacuation of a traumatic brain hemorrhage or for a simple subdural tap. It covers procedures such as tumor removal, aneurysm repair, or other planned brain surgery. Think of a patient having a brain tumor removed through a planned craniotomy. The anesthesia clinician manages blood pressure and brain swelling closely throughout, often using specialized monitoring of brain activity during the operation. You'll typically see CPT 00210 on a bill or explanation of benefits (EOB) when a clinician performs or bills for this service.

Computation & policy

How this amount is computed

amount = (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × conversion factor. National amounts use GPCI = 1.000. To price an RVU figure of your own, use the RVU-to-dollars converter.

Release Q4 2025

Every rate combines three parts: work (the clinician’s time, skill and effort), practice expense (office overhead — higher when the service is done in a doctor’s own office), and malpractice (the share of liability-insurance cost). A blank means CMS publishes no national number for that part. Read it as unknown, and never as zero.

History & related

Rate history by release

National non-facility amount for 00210 across quarterly releases.

Release Status Non-facility Facility
Q3 2026 Jun 30, 2026 – present J
Q2 2026 Mar 10, 2026 – Jun 29, 2026 J
Q1 2026 Dec 29, 2025 – Mar 9, 2026 J

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Source & method

This is computed from CMS's Medicare Physician Fee Schedule Q4 2025 release (schedule pfs, effective October 2025). National amounts apply a GPCI of 1.000 and leave sequestration off. The status indicator decides payability, never the RVU values, so a blank RVU stays blank. Releases are immutable: a rate retrieved for a past quarter always reflects that release. Commercial and cash-pay figures anywhere on this page are arithmetic on the Medicare amount, using commonly cited reimbursement ranges. They're illustrative, and no nationwide claims database stands behind them.

Description written from primary sources: CMS Medicare Physician Fee Schedule Relative Value Files. Not derived from AMA CPT descriptor text.

Physician relative value file (Q4 2025) · 2025.zip (PPRRVU2025_Oct.csv row 38)

Conversion factor $32.3465 read from the same file, row 11, column 25.

Use the (i) buttons next to each amount above for the exact row, columns, and math.

Cite this rate

This link keeps pointing at the Q4 2025 figures, even after a newer release lands.

CPT 00210 Medicare Physician Fee Schedule rate (Q4 2025). Localis. https://localishealth.com/cpt/00210/2025/D