Priced using anesthesia methodology
00580 · PFS Q4 2017 · Historical
Illustrative example
~$793.08
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. time_units = time_minutes / 15, rounded to one decimal place. The anesthesia conversion factor is CMS's published locality-adjusted value. Citations 00580’s RVUs, PFS status and conversion factor Physician relative value file (PPRRVU)CMS RVU17DOctober 1 – December 31, 2017
PPRRVU17_OCT.csv
row 4,558
in rvu17d.zip
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File fingerprint The GPCIs Geographic practice cost indices (GPCI)CMS RVU17DOctober 1 – December 31, 2017
CY2017_GPCIs.csv
row 102
in rvu17d.zip
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File fingerprint Anesthesia conversion factors (ANES) CMS RVU17DOctober 1 – December 31, 2017
ANES_OCT.csv
row 100
in rvu17d.zip
Loading rows 98–102 of ANES_OCT.csv…
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File fingerprint
Source
In the CMS file
4ec25bedea18799c66d10002a3731757548ccfd70e37379c856bb8a1fafe8da4
In the CMS file
2b5a24240d7dacfa826bfdd1d7d91b8fd0932774fb42edd11a697dc5103716a9
In the CMS file
57ca1f229ad7b03b73a136c184493d1fb481dc24a089ff2318f8f696b6a6562f
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 20—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.
CPT 00580 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 $793.08 for a 240-minute case in Dallas, TX under the Q4 2017 release, before sequestration.
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
- 00580
- Release
- Q4 2017, 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 RVU17DOctober 1 – December 31, 2017
This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.
PPRRVU17_OCT.csv row 4,558 in rvu17d.zip
In the CMS file
Loading rows 4,556–4,560 of PPRRVU17_OCT.csv…
Download rvu17d.zip from CMS File fingerprint
4ec25bedea18799c66d10002a3731757548ccfd70e37379c856bb8a1fafe8da4
Why is there no national PFS amount for 00580?
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.
Payment considerations Copy link
Here are the inputs and payment rules that apply to this code. Each link takes you to the detail below.
Other payment indicators (10)
Facility/non-facility: Not determined, Professional/technical component: Does not apply, Bilateral adjustment: Does not apply, Multiple-procedure reduction: Does not apply, Assistant/co-surgeon treatment: Does not apply, Global surgery: Does not apply, NCCI same-day edits: Not determined, MUE behavior: Not determined, Other fee-schedule routing: Does not apply, Contractor pricing: Does not apply.
Can you bill it with another code? Copy link
Check a pair of codes Copy link
Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit for the pair.
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.
Usage and related codes Copy link
How often 00580 is billed Copy link
Across Original Medicare in CY2024, 00580 ranked #2,538 of the 7,879 CPT codes billed to Medicare that year, by patients served or total allowed dollars.
2024 Medicare fee-for-service national totals. They exclude Medicare Advantage, Medicaid and commercial volume, 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 2017 fee schedule above.
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Source & method
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The anesthesia estimate uses the base units, case length, and locality conversion factor shown beside it. The PFS file shows this code is priced as anesthesia. Past releases are never edited, so these sources stay valid after CMS publishes a newer one. Our methodology explains sourcing, parsing, versioning, and how we cross-check claims before we publish them.
Cite this rate
The citation names the release, so anyone can check it even after CMS publishes a newer one.
CPT 00580 National PFS baseline: No national PFS rate (Q4 2017; participating; whole service; GPCI 1.000; sequestration excluded). CMS RVU17D, PPRRVU17_OCT.csv row 4,558. Localis. https://localishealth.com/cpt/00580/2017/D