CPT code 01472: Achilles repair, ruptured tendon2026 Medicare rate & RVUs in Texas

CMS doesn’t publish an office rate for 01472 in Texas.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 01472 covers

Code 01472 identifies anesthesia for operative repair of a ruptured Achilles tendon, whether the surgeon repairs the tendon directly or uses a graft. An anesthesiologist or CRNA reports the anesthesia service, while the surgeon reports the tendon operation under its applicable surgical CPT code. The operative report should identify the rupture and repair and indicate graft use; the anesthesia record should document the anesthesia service and its start and end times.

Select 01472 for Achilles rupture repair rather than 01480 for other open lower-leg, ankle, or foot procedures, 01462 for closed procedures in those regions, or 01474 for gastrocnemius recession. Medicare assigns 5 base units. Payment is (base units + time units) × the locality’s anesthesia conversion factor. Time begins when the anesthesia practitioner starts preparing the patient and ends when the practitioner is no longer in personal attendance and the patient can safely be placed under postoperative care; minutes are converted to 15-minute units to one decimal place.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 01472 pays more and less in Texas

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

8 of 8 payment localities

How the 01472 rate is calculated

Each of 01472’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 01472

01472 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

01472 compared with similar codes

How to choose

01480Open lower-extremity anesthesiaLower leg, ankle, or foot

01472 identifies anesthesia for ruptured Achilles tendon repair; 01480 covers other open procedures of the lower leg, ankle, or foot.

01474Calf recession anesthesiaGastrocnemius lengthening

01474 applies to gastrocnemius recession, not repair of a ruptured Achilles tendon.

01462Closed lower-leg anesthesiaLower leg, ankle, or foot

01462 applies to closed procedures of the lower leg, ankle, or foot; 01472 is specific to Achilles rupture repair.

Codes related to 01472

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates