Priced using anesthesia methodology
01610 · PFS Q3 2023 · Historical
Illustrative example
~$231.88
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 01610’s RVUs, PFS status and conversion factor Physician relative value file (PPRRVU)CMS RVU23CJuly 1 – September 30, 2023
PPRRVU23_JUL.csv
row 5,740
in rvu23c.zip
Loading rows 5,738–5,742 of PPRRVU23_JUL.csv…
Download rvu23c.zip from CMS
File fingerprint The GPCIs Geographic practice cost indices (GPCI)CMS RVU23CJuly 1 – September 30, 2023
GPCI2023.csv
row 102
in rvu23c.zip
Loading rows 100–104 of GPCI2023.csv…
Download rvu23c.zip from CMS
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…
Download rvu23c.zip from CMS
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 206
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 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 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
- 01610
- 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 5,740 in rvu23c.zip
In the CMS file
Loading rows 5,738–5,742 of PPRRVU23_JUL.csv…
Download rvu23c.zip from CMS File fingerprint
64251eae48773025b05c6e45a77e1909e7151c421fe8f346124ba9623c491e37
CPT 01610 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 $231.88 for a 90-minute case in Dallas, TX under the Q3 2023 release, before sequestration.
Why is there no national PFS amount for 01610?
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)
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.
What it means outside Medicare Copy link
Usage and related codes Copy link
How often 01610 is billed Copy link
Across Original Medicare in CY2024, 01610 ranked #940 of the 7,879 CPT codes billed to Medicare that year, by patients served or total allowed dollars.
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 Q3 2023 fee schedule above.
Did this answer your question about CPT 01610?
Tell us what you were trying to work out and we'll answer you or build the page that does.
Source & method
Show sources
Hide
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 01610 National PFS baseline: No national PFS rate (Q3 2023; participating physician; whole service; GPCI 1.000; sequestration excluded). CMS RVU23C, PPRRVU23_JUL.csv row 5,740. Localis. https://localishealth.com/cpt/01610/2023/C