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CPT 00834 Medicare anesthesia rate

Priced using anesthesia methodology

00834 · PFS Q4 2025 · Historical

Illustrative example

~$183.15

Source

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.

base_units
5
time_units
4
anesthesia_cf
20.35
amount
$183.15

time_units = time_minutes / 15, rounded to one decimal place.

The anesthesia conversion factor is CMS's published locality-adjusted value.

Citations

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.

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 2025, 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 RVU25DOctober 1 – December 31, 2025

    This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.

    PPRRVU2025_Oct.csv row 131 in rvu25d-updated-09-11-2025.zip

    In the CMS file

    Loading rows 129–133 of PPRRVU2025_Oct.csv…

    Download rvu25d-updated-09-11-2025.zip from CMS File fingerprint 8af460f38bf982b79b07269fbc8b7256a8ef3bd3aa025a9c5cb71c1e52523c56

Report a problem

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 $183.15 for a 60-minute case in Dallas, TX under the Q4 2025 release, before sequestration.

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.

Contract rate as % of Medicare Copy link

Arbitration outcomes for 00834 are coming Join the waitlist →

Which billing rules and modifiers apply? Copy link

CMS's surgical and split-billing indicators don't adjust 00834's amount.

CMS RVU25DOctober 1 – December 31, 2025

Can you bill it with another code? Copy link

This code

00834

See every current NCCI pair for 00834 →

Source & method Copy link

The PFS file shows this code is priced as anesthesia. The estimate uses the base units, case length, and locality conversion factor shown beside it.

  1. 01 PPRRVU2025_Oct.csv · Q4 2025 (RVU25D) · row 131—priced as anesthesia
    Effective
    October 1 – December 31, 2025
    Locator
    PPRRVU2025_Oct.csv in rvu25d-updated-09-11-2025.zip · row 131 of 19,090 · via CMS
    Fields read
    Status J (col 4)
    SHA-256 8af460f38bf982b7…

Cite this rate

CPT 00834 National PFS baseline: No national PFS rate (Q4 2025; participating physician; whole service; GPCI 1.000; sequestration excluded). CMS RVU25D, PPRRVU2025_Oct.csv row 131. Localis. https://localishealth.com/cpt/00834/2025/D

Past releases are never edited, so the citation stays checkable after CMS publishes a newer one. Methodology · Plain-text summary · JSON

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.

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Usage and related codes Copy link

Localis groups related codes for payment research; the grouping isn't the AMA's code families.