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Describe a service in plain words, or type a CPT/HCPCS code.

Effective Jan 1, 2024 through Mar 8, 2024. This is revision 1—CMS published revision 2 with rates effective Mar 9, 2024 (posted Apr 1, 2024).

CPT 01486

Priced using anesthesia methodology

01486 · PFS Q1 2024 · Historical

Illustrative example

~$270.53

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
7
time_units
6
anesthesia_cf
20.81
amount
$270.53

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.

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 7—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.

View CMS source and method

CPT 01486 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 $270.53 for a 90-minute case in Dallas, TX under the Q1 2024 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
01486
Release
Q1 2024, 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    Physician relative value file (PPRRVU)CMS RVU24AJanuary 1 – March 8, 2024revision 1, since superseded

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

    PPRRVU24_JAN.csv row 6,001 in rvu24a-updated-04-01-2024.zip

    A HCPCS
    01486
    B Modifier
    blank
    D Status code
    J
    In the CMS file

    Loading rows 5,999–6,003 of PPRRVU24_JAN.csv…

    Download rvu24a-updated-04-01-2024.zip from CMS File fingerprint 034f3aa88a63e6f7ca3859c09b3945dce139171a6fc5a710300fc7b815e9b65b

Plain-text summary

Why is there no national PFS amount for 01486?

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.

See every current NCCI pair for 01486 →

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

How often 01486 is billed Copy link

Across Original Medicare in CY2024, 01486 ranked #2,721 of the 7,879 CPT codes billed to Medicare that year, by patients served or total allowed dollars.

Beneficiaries
3,681
Office + facility beneficiaries combined
Services
5,410
Times it was billed
Allowed
$1.4M
Total Medicare allowed dollars
Compare: ↑ #2,720 more popular · 46946 ↓ #2,723 less popular · 33362

2024 Medicare fee-for-service national totals. They exclude Medicare Advantage, Medicaid and commercial volume, so real-world use runs higher. This is a calendar-year snapshot from the CMS Physician & Other Practitioners dataset, on a different cycle from the Q1 2024 fee schedule above.

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Source & method

Show sources

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.

Physician relative value file (Q1 2024) · rvu24a-updated-04-01-2024.zip (PPRRVU24_JAN.csv row 6,001)

Cite this rate

The citation names the release, so anyone can check it even after CMS publishes a newer one.

CPT 01486 National PFS baseline: No national PFS rate (Q1 2024; participating; whole service; GPCI 1.000; sequestration excluded). CMS RVU24A, PPRRVU24_JAN.csv row 6,001. Localis. https://localishealth.com/cpt/01486/2024/A/1