Priced using anesthesia methodology
01470 · PFS Q3 2023 · Historical
Illustrative example
~$189.72
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 01470’s RVUs, PFS status and conversion factor Physician relative value file (PPRRVU)CMS RVU23CJuly 1 – September 30, 2023
PPRRVU23_JUL.csv
row 5,727
in rvu23c.zip
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File fingerprint The GPCIs Geographic practice cost indices (GPCI)CMS RVU23CJuly 1 – September 30, 2023
GPCI2023.csv
row 102
in rvu23c.zip
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File fingerprint Anesthesia conversion factors (ANES) CMS RVU23CJuly 1 – September 30, 2023
ANES2023.csv
row 100
in rvu23c.zip
Loading rows 98–102 of ANES2023.csv…
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File fingerprint Anesthesia base units by CPT code Q1 2022January 1 – March 31, 2022
Section 508 compliant version of CY_2022_Anesthesia_Base_Units_110921.txt
row 194
in 2022-anesthesia-base-units-cpt-code.zip
Download 2022-anesthesia-base-units-cpt-code.zip from CMS
File fingerprint
Source
In the CMS file
64251eae48773025b05c6e45a77e1909e7151c421fe8f346124ba9623c491e37
In the CMS file
137b8d9e8f68fd447b4021fe845ad875c082237bc752c7aabeb2731a57b4e75c
In the CMS file
68f9e8284fa2134e8d348abca9271a694a7f32b67541b80d2982ef4fd37679f3
ebbf7d42ecaf759c280f0b9fced5ea71dd16505a0563bb7c942cee068c797fde
90-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 3—set by CMS for this code and the same in every locality. One time unit is 15 minutes, rounded to one decimal, so a 90-minute case adds 6 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
- 01470
- Release
- Q3 2023, 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 RVU23CJuly 1 – September 30, 2023
This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.
PPRRVU23_JUL.csv row 5,727 in rvu23c.zip
In the CMS file
Loading rows 5,725–5,729 of PPRRVU23_JUL.csv…
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64251eae48773025b05c6e45a77e1909e7151c421fe8f346124ba9623c491e37
CPT 01470 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 $189.72 for a 90-minute case in Dallas, TX under the Q3 2023 release, before sequestration.
Why is there no national PFS amount for 01470?
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 01470 are coming Join the waitlist →
Which billing rules and modifiers apply? Copy link
CMS's surgical and split-billing indicators don't adjust 01470's amount.
CMS RVU23CJuly 1 – September 30, 2023
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.
-
01 PPRRVU23_JUL.csv · Q3 2023 (RVU23C) · row 5,727—priced as anesthesia
- Effective
- July 1 – September 30, 2023
- Locator
- PPRRVU23_JUL.csv in rvu23c.zip · row 5,727 of 18,132 · via CMS
- Fields read
-
Status J (col 4)SHA-256 64251eae48773025…
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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 Q3 2023 fee schedule
- Doesn’t establish
- Medicare Advantage, Medicaid or commercial volume.
- Note
- The dataset suppresses rows under 11 beneficiaries.
Cite this rate
CPT 01470 National PFS baseline: No national PFS rate (Q3 2023; participating physician; whole service; GPCI 1.000; sequestration excluded). CMS RVU23C, PPRRVU23_JUL.csv row 5,727. Localis. https://localishealth.com/cpt/01470/2023/C
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, 01470 ranked #1,628 of the 7,879 CPT codes billed to Medicare that year, by patients served or total allowed dollars.
- Services
- 39,330
- Allowed
- $4.6M
- Beneficiaries
- 26,348
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.