{
    "code": "00670",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/00670/2020/A",
    "release_specific_url": "https://localishealth.com/cpt/00670/2020/A",
    "description": "Anesthesia care for large, complex operations on the spine and spinal cord, the kind involving multiple levels, instrumentation with rods and screws, or fusion. These cases are long, often done with the patient face down, and can involve significant blood loss and neuromonitoring, so the anesthesia workload is heavier than for a single-level decompression. It sits above the simpler spine anesthesia codes precisely because of that extent and complexity.",
    "answer": {
        "question": "How much does Medicare pay for CPT 00670?",
        "text": "CPT 00670 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 $549.69 for a 180-minute case in Dallas, TX under the Q1 2020 release, before sequestration."
    },
    "release": {
        "schedule": "pfs",
        "year": 2020,
        "quarter": "A",
        "label": "Q1 2020",
        "effective": "January 1 – March 31, 2020",
        "revision": 1
    },
    "status": {
        "code": "J",
        "non_facility_payable": false,
        "facility_payable": false
    },
    "national_rates_usd": {
        "office_non_facility": null,
        "facility": null,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": null,
        "practice_expense_non_facility": null,
        "practice_expense_facility": null,
        "malpractice": null
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0896,
    "source": {
        "label": "Physician relative value file (Q1 2020)",
        "cms_url": "https://www.cms.gov/files/zip/rvu20a-updated-01312020.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2020/A",
        "file": "PPRRVU20_Jan.csv",
        "row": 5039,
        "sha256": "28d2c1e57daa957d1eef39cb96dc0e0f55fd4e6ab886473e117d9b4f43a9875d"
    },
    "modified_at": "2026-08-04T03:09:22+00:00"
}