{
    "code": "00811",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/00811/2018/C",
    "release_specific_url": "https://localishealth.com/cpt/00811/2018/C",
    "description": "Anesthesia care during an endoscopy of the lower digestive tract, where a flexible camera is advanced through the rectum to examine the colon. This is the code for colonoscopies done to investigate symptoms or to treat something found, as opposed to the companion code used when the exam is a pure screening test in a person with no symptoms. The anesthesia professional typically delivers propofol-based deep sedation and monitors breathing and circulation while the gastroenterologist works.",
    "answer": {
        "question": "How much does Medicare pay for CPT 00811?",
        "text": "CPT 00811 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 $132.27 for a 30-minute case in Dallas, TX under the Q3 2018 release, before sequestration."
    },
    "release": {
        "schedule": "pfs",
        "year": 2018,
        "quarter": "C",
        "label": "Q3 2018",
        "effective": "July 1 – September 30, 2018",
        "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": 35.9996,
    "source": {
        "label": "Physician relative value file (Q3 2018)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18c1.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2018/C",
        "file": "PPRRVU18_JUL.csv",
        "row": 4711,
        "sha256": "514e3c115f8e62a35eb5f78fef7ed12ed7b60b22a5fe3f3f1bb5aadf119663c5"
    },
    "modified_at": "2026-08-04T03:08:27+00:00"
}