{
    "code": "00731",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/00731/2021/B",
    "release_specific_url": "https://localishealth.com/cpt/00731/2021/B",
    "description": "Anesthesia care during an endoscopy of the upper digestive tract, where a flexible camera is passed through the mouth to inspect the esophagus, stomach and the beginning of the small intestine. It covers routine upper endoscopy cases rather than the specialized bile-duct and pancreatic-duct work done with a side-viewing scope, which has its own anesthesia code. The anesthesia professional typically provides deep sedation or general anesthesia and manages a shared airway while the gastroenterologist works.",
    "answer": {
        "question": "How much does Medicare pay for CPT 00731?",
        "text": "CPT 00731 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 $148.87 for a 30-minute case in Dallas, TX under the Q2 2021 release, before sequestration."
    },
    "release": {
        "schedule": "pfs",
        "year": 2021,
        "quarter": "B",
        "label": "Q2 2021",
        "effective": "April 1 – June 30, 2021",
        "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": 34.8931,
    "source": {
        "label": "Physician relative value file (Q2 2021)",
        "cms_url": "https://www.cms.gov/files/zip/rvu21b-updated-03022021.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2021/B",
        "file": "PPRRVU21_APR.csv",
        "row": 5063,
        "sha256": "524bee7096166c9011a4ea02189783ef8c91f4d444585e5b2d561b879f9262de"
    },
    "modified_at": "2026-08-04T03:10:33+00:00"
}