Priced using anesthesia methodology
00926 · PFS Q1 2015 · Historical
See your local estimate for a sample 60-minute case.
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
- 00926
- Release
- Q1 2015, 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 RVU15AJanuary 1 – March 31, 2015
This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.
PPRRVU15_V1223c.csv row 4,313 in rvu15a.zip
In the CMS file
Loading rows 4,311–4,315 of PPRRVU15_V1223c.csv…
Download rvu15a.zip from CMS File fingerprint
d600c52a7d5f75737599c9a879cc0ffc8c85766bee82e9e2eadf49af364314d2
CPT 00926 is an anesthesia code, so Medicare has no single national rate: payment is (base units + time units) × the locality's anesthesia conversion factor, so the amount varies by locality and case length (Q1 2015 release).
Why is there no national PFS amount for 00926?
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 00926 are coming Join the waitlist →
Which billing rules and modifiers apply? Copy link
CMS's surgical and split-billing indicators don't adjust 00926's amount.
CMS RVU15AJanuary 1 – March 31, 2015
Can you bill it with another code? Copy link
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.
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01 PPRRVU15_V1223c.csv · Q1 2015 (RVU15A) · row 4,313—priced as anesthesia
- Effective
- January 1 – March 31, 2015
- Locator
- PPRRVU15_V1223c.csv in rvu15a.zip · row 4,313 of 16,083 · via CMS
- Fields read
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Status J (col 4)SHA-256 d600c52a7d5f7573…
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02 Physician & Other Practitioners · CY2024—volume and who bills it limits
- Effective
- Calendar-year snapshot, on a different cycle from the Q1 2015 fee schedule
- Doesn’t establish
- Medicare Advantage, Medicaid or commercial volume.
- Note
- The dataset suppresses rows under 11 beneficiaries.
Cite this rate
CPT 00926 National PFS baseline: No national PFS rate (Q1 2015; participating physician; whole service; GPCI 1.000; sequestration excluded). CMS RVU15A, PPRRVU15_V1223c.csv row 4,313. Localis. https://localishealth.com/cpt/00926/2015/A
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
In CY2024, 00926 ranked #4,629 of the 7,879 CPT codes billed to Medicare that year, by patients served or total allowed dollars.
- Services
- 1,079
- Allowed
- $156,081
- Beneficiaries
- 762
CY2024 Medicare fee-for-service, from the CMS Physician & Other Practitioners dataset (limits). Localis groups related codes for payment research; the grouping isn't the AMA's code families.