CPT 00834
Priced using anesthesia methodology
00834 · PFS Q4 2019 · Historical
Illustrative example
~$199.98
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 Every input comes from a published CMS file. Open the same file at the row shown and the values match. 00834’s RVUs, PFS status and conversion factor Physician relative value file (PPRRVU)CMS RVU19DOctober 1 – December 31, 2019
PPRRVU19_OCT.csv
row 4,955
in rvu19d.zip
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File fingerprint The GPCIs Geographic practice cost indices (GPCI)CMS RVU19DOctober 1 – December 31, 2019
GPCI2019.csv
row 102
in rvu19d.zip
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File fingerprint Anesthesia conversion factors (ANES) CMS RVU19DOctober 1 – December 31, 2019
ANES2019.csv
row 100
in rvu19d.zip
Loading rows 98–102 of ANES2019.csv…
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File fingerprint
Source
In the CMS file
4efa7bdbffa98a56affa6d5b05e25d7ac5c39f26c7b281d0c773e7e530767cae
In the CMS file
89c03bb9abd9e67c1f2f0dbb14887720b1c5c01317514ca3c9fc70cd49a44fcf
In the CMS file
63d2d4cc52bcf8d64afb404979fc44f42a4d8065e2bd272438ae702d6eeb7232
60-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 5—set by CMS for this code and the same in every locality. One time unit is 15 minutes, rounded to one decimal, so a 60-minute case adds 4 time units.
CPT 00834 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 $199.98 for a 60-minute case in Dallas, TX under the Q4 2019 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
- 00834
- Release
- Q4 2019, revision 1
- Result
- Priced using anesthesia methodology
Citations
Every input comes from a published CMS file. Open the same file at the row shown and the values match.
-
Shows this code’s PFS status (J). Result: Priced using anesthesia methodology.
Physician relative value file (PPRRVU)CMS RVU19DOctober 1 – December 31, 2019
This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.
PPRRVU19_OCT.csv row 4,955 in rvu19d.zip
- A HCPCS
- 00834
- B Modifier
- blank
- D Status code
- J
In the CMS file
Loading rows 4,953–4,957 of PPRRVU19_OCT.csv…
Download rvu19d.zip from CMS File fingerprint
4efa7bdbffa98a56affa6d5b05e25d7ac5c39f26c7b281d0c773e7e530767cae
Why is there no national PFS amount for 00834?
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
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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 00834 National PFS baseline: No national PFS rate (Q4 2019; participating; whole service; GPCI 1.000; sequestration excluded). CMS RVU19D, PPRRVU19_OCT.csv row 4,955. Localis. https://localishealth.com/cpt/00834/2019/D