Priced using anesthesia methodology
01952 · PFS Q3 2017 · Historical
Illustrative example
~$242.33
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 01952’s RVUs, PFS status and conversion factor Physician relative value file (PPRRVU)CMS RVU17CJuly 1 – September 30, 2017
PPRRVU17_JULY_V0503.csv
row 4,781
in rvu17c.zip
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File fingerprint The GPCIs Geographic practice cost indices (GPCI)CMS RVU17CJuly 1 – September 30, 2017
CY2017_GPCIs.csv
row 102
in rvu17c.zip
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File fingerprint Anesthesia conversion factors (ANES) CMS RVU17CJuly 1 – September 30, 2017
ANES_V0101.csv
row 100
in rvu17c.zip
Loading rows 98–102 of ANES_V0101.csv…
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File fingerprint
Source
In the CMS file
900a883af582a5aea1ddfbf94ff14f240d036b71a2c76cfeb2f699e487fef5ce
In the CMS file
2b5a24240d7dacfa826bfdd1d7d91b8fd0932774fb42edd11a697dc5103716a9
In the CMS file
fdcfcbe49c94d56713b007c27840a8462316aae4dc9629f4ac3c2165ebbc3a98
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.
CPT 01952 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 $242.33 for a 90-minute case in Dallas, TX under the Q3 2017 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
- 01952
- Release
- Q3 2017, 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 RVU17CJuly 1 – September 30, 2017
This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.
PPRRVU17_JULY_V0503.csv row 4,781 in rvu17c.zip
In the CMS file
Loading rows 4,779–4,783 of PPRRVU17_JULY_V0503.csv…
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900a883af582a5aea1ddfbf94ff14f240d036b71a2c76cfeb2f699e487fef5ce
Why is there no national PFS amount for 01952?
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.
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 01952 is billed Copy link
Across Original Medicare in CY2024, 01952 ranked #4,214 of the 7,879 CPT codes billed to Medicare that year, by patients served or total allowed dollars. It repeats: a patient billed for it in 2024 was billed 2.6 times on average that year.
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 2017 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 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 01952 National PFS baseline: No national PFS rate (Q3 2017; participating; whole service; GPCI 1.000; sequestration excluded). CMS RVU17C, PPRRVU17_JULY_V0503.csv row 4,781. Localis. https://localishealth.com/cpt/01952/2017/C