CPT 01758
Priced using anesthesia methodology
01758 · PFS Q1 2013 · Historical
Illustrative example
~$174.35
Formula (base_units + time_units) × anesthesia_cf Localis-derived calculation from published inputs. Select an underlined input to inspect its source field. time_units = time_minutes / 15. The anesthesia conversion factor is CMS's published locality-adjusted value. Citations Supplies the RVUs and PFS status for this code and component. Q1 2013 · revision 1 Latest revision of this release Release period: January 1 – March 31, 2013 SHA-256: a84cdae37ebaadbaf680d8ea6051f442d6e61fb44436ca61dc94a43051d877e8 Supplies the geographic adjustment factors for this locality. Q1 2013 · revision 1 Latest revision of this release Release period: January 1 – March 31, 2013 SHA-256: af65ea104ab336216f9d00a2d4fb4d2d2dc82c445e3ec63e87e371ad9fe49f17 Supplies the dollar conversion factor used in the formula. Q1 2013 · revision 1 Latest revision of this release Release period: January 1 – March 31, 2013 SHA-256: a84cdae37ebaadbaf680d8ea6051f442d6e61fb44436ca61dc94a43051d877e8 Q1 2013 · revision 1 Latest revision of this release Release period: January 1 – March 31, 2013 SHA-256: 530edaa26b2dace2383dd4e94fa622d9030c10b104140b9ca3b03ff000d3928f
Source
Record details
PPRRVU13.csv
in
rvu13a.zip
(row 4,199)
Record details
GPCI2013.csv
in
rvu13a.zip
(row 80)
Record details
PPRRVU13.csv
in
rvu13a.zip
(row 11)
Record details
ANES2013.csv
in
rvu13a.zip
(row 78)
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, so a 90-minute case adds 6 time units.
CPT 01758 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 $174.35 for a 90-minute case in Dallas, TX under the Q1 2013 release, before sequestration.
Amount evidence: base units, time units, and locality conversion factor in the estimate. The PFS row establishes the anesthesia pricing pathway.
Inspect PFS status evidence
- Code
- 01758
- Release
- Q1 2013, revision 1
- Result
- Priced using anesthesia methodology
Citations
-
Establishes the PFS status (J) and the resulting pathway for this code: priced using anesthesia methodology.
Physician relative value file (PPRRVU)Q1 2013 · revision 1
Latest revision of this release
Release period: January 1 – March 31, 2013
This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.
Record details
PPRRVU13.csv in rvu13a.zip (row 4,199)- hcpcs (col 1)
- 01758
- modifier (col 2)
- blank
- status_code (col 4)
- J
SHA-256: a84cdae37ebaadbaf680d8ea6051f442d6e61fb44436ca61dc94a43051d877e8
Why is there no national PFS amount for 01758?
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. Ask for a locality to see that factor. Anesthesia code: paid via base + time units × a separate anesthesia conversion factor, not the standard PFS RVU formula. Supply a locality (and time_minutes for a specific amount) to compute it.
Payment considerations Copy link
Review the applicable inputs and payment rules. Each link opens the supporting detail on this page.
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
Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit between it and 01758.
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.
How often 01758 is billed Copy link
Across Original Medicare in CY2024, 01758 ranked #6,585 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 Q1 2013 fee schedule above.
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Source & method
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The anesthesia estimate uses the base units, case length, and locality conversion factor identified beside that estimate. The PFS file establishes the pricing pathway. Releases are immutable: historical evidence remains tied to the specified release. Our methodology covers the depth: sourcing, parsing, versioning, and how we cross-check claims before they ship.
Use the (i) buttons next to each amount above for the exact row, columns, and math.
Cite this rate
This citation identifies the source release, so its evidence remains reproducible after a newer release lands.
CPT 01758 National PFS baseline: No national PFS rate (Q1 2013; participating; whole service; GPCI 1.000; sequestration excluded). Localis. https://localishealth.com/cpt/01758/2013/A