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CPT 00211 Medicare anesthesia rate

Priced using anesthesia methodology

00211 · PFS Q3 2022 · Historical

Illustrative example

~$556.92

Source

Formula

(base_units + time_units) × anesthesia_cf

Localis calculated this from CMS’s published inputs. Select an underlined value to see where it comes from.

base_units
10
time_units
16
anesthesia_cf
21.42
amount
$556.92

time_units = time_minutes / 15, rounded to one decimal place.

The anesthesia conversion factor is CMS's published locality-adjusted value.

Citations

240-minute example case in Dallas, TX

Anesthesia has no single national rate—payment is (base units + time units) × the locality's anesthesia conversion factor. This example is before sequestration. Enter the service-location ZIP and case length for a local estimate.

Base units 10—set by CMS for this code and the same in every locality. One time unit is 15 minutes, rounded to one decimal, so a 240-minute case adds 16 time units.

View CMS source and method

Amount evidence: base units, time units, and the locality conversion factor, shown in the estimate. The PFS row shows this code is priced as anesthesia.

Inspect PFS status evidence
Code
00211
Release
Q3 2022, revision 1
Result
Priced using anesthesia methodology

Citations

  • Shows this code’s PFS status (J). Result: Priced using anesthesia methodology.

    Physician relative value file (PPRRVU)CMS RVU22CJuly 1 – September 30, 2022

    This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.

    PPRRVU22_JUL.csv row 5,181 in rvu22c-updated-06172022.zip

    In the CMS file

    Loading rows 5,179–5,183 of PPRRVU22_JUL.csv…

    Download rvu22c-updated-06172022.zip from CMS File fingerprint f0a493a192a21b1faa980aa71d22c8ae064e87b564f51a67e1229fcee376df41

Report a problem

CPT 00211 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 $556.92 for a 240-minute case in Dallas, TX under the Q3 2022 release, before sequestration.

Why is there no national PFS amount for 00211?

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. Choose a locality to see that factor.

Contract rate as % of Medicare Copy link

Arbitration outcomes for 00211 are coming Join the waitlist →

Which billing rules and modifiers apply? Copy link

CMS's surgical and split-billing indicators don't adjust 00211's amount.

CMS RVU22CJuly 1 – September 30, 2022

Can you bill it with another code? Copy link

This code

00211

See every current NCCI pair for 00211 →

Source & method Copy link

The PFS file shows this code is priced as anesthesia. The estimate uses the base units, case length, and locality conversion factor shown beside it.

  1. 01 PPRRVU22_JUL.csv · Q3 2022 (RVU22C) · row 5,181—priced as anesthesia
    Source
    Physician relative value file (PPRRVU), Q3 2022 release
    Effective
    July 1 – September 30, 2022
    Locator
    PPRRVU22_JUL.csv in rvu22c-updated-06172022.zip · row 5,181 of 17,695 · via CMS
    Fields read
    Status J (col 4)
    SHA-256 f0a493a192a21b1f…
  2. 02 Physician & Other Practitioners · CY2024—volume and who bills it limits
    Source
    CMS Physician & Other Practitioners dataset
    Effective
    Calendar-year snapshot, on a different cycle from the Q3 2022 fee schedule
    Doesn’t establish
    Medicare Advantage, Medicaid or commercial volume.
    Note
    The dataset suppresses rows under 11 beneficiaries.

Cite this rate

CPT 00211 National PFS baseline: No national PFS rate (Q3 2022; participating physician; whole service; GPCI 1.000; sequestration excluded). CMS RVU22C, PPRRVU22_JUL.csv row 5,181. Localis. https://localishealth.com/cpt/00211/2022/C

Past releases are never edited, so the citation stays checkable after CMS publishes a newer one. Methodology · Plain-text summary · JSON

How has it changed? Copy link

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.

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Usage and related codes Copy link

In CY2024, 00211 ranked #1,914 of the 7,879 CPT codes billed to Medicare that year, by patients served or total allowed dollars.

Services
11,462
Allowed
$3.4M
Beneficiaries
7,526

CY2024 Medicare fee-for-service, from the CMS Physician & Other Practitioners dataset (limits). Localis groups related codes for payment research; the grouping isn't the AMA's code families.