CPT code 01490: Lower-leg cast anesthesia, application, removal, or repair2026 Medicare rate & RVUs in Virgin Islands, VI
Anesthesia for lower-leg cast application, removal, or repair, reported when anesthesia is provided for the cast procedure.
CMS doesn’t publish a rate for 01490 in Virgin Islands, VI.
Check a contract rate as a % of Medicare · 01490 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 01490 covers
This anesthesia service covers lower-leg cast application, removal, or repair when anesthesia is provided for the cast procedure. An anesthesiologist or CRNA furnishes and reports the anesthesia; the cast procedure is a separate service. Medicare utilization for 01490 is recorded in facility claims. The operative documentation should identify the cast action and treated site, while the anesthesia record supports the practitioner’s time and attendance.
Choose 01490 for lower-leg cast work, not knee-joint cast care under 01420 or anesthesia for a separate closed or open lower-extremity operation, represented by 01462 and 01480. The code has 3 base units. Medicare calculates payment as base units plus time units multiplied by the locality’s anesthesia conversion factor. Anesthesia time is counted in minutes from preparation of the patient through the end of personal attendance, when the patient can safely be placed under postoperative care, then converted to 15-minute units to one decimal place; conversion factors vary by locality.
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.
How Virgin Islands, VI compares for 01490
- Virgin Islands, VI · this pageUnavailable
- Los Angeles, CA · CaliforniaUnavailable
- Washington, DC area · District of ColumbiaUnavailable
- Miami, FL · FloridaUnavailable
- Chicago, IL · IllinoisUnavailable
- Manhattan, NY · New YorkUnavailable
- Alaska · AlaskaUnavailable
Other areas in United States Virgin Islands first, then benchmark localities. Bars start at $0.
Every other payment area
01490 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 01490 rate is calculated
Each of 01490’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.
How the rate is built · 01490
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 01490
01490 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.
Place of service · 01490
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
—
01490 isn’t priced in this setting.
How 01490 has changed in Virgin Islands, VI
01490 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Unavailable | Unavailable | RVU26D |
| 2026-07-01 | Unavailable | Unavailable | RVU26C |
| 2026-04-01 | Unavailable | Unavailable | RVU26B |
| 2026-01-01 | Unavailable | Unavailable | RVU26A |
| 2025-10-01 | Unavailable | Unavailable | RVU25D |
| 2025-07-01 | Unavailable | Unavailable | RVU25C |
| 2025-04-01 | Unavailable | Unavailable | RVU25B |
| 2025-01-01 | Unavailable | Unavailable | RVU25A |
| 2024-10-01 | Unavailable | Unavailable | RVU24D |
| 2024-07-01 | Unavailable | Unavailable | RVU24C |
| 2024-04-01 | Unavailable | Unavailable | RVU24B |
| 2024-03-09 | Unavailable | Unavailable | RVU24AR |
| 2024-01-01 | Unavailable | Unavailable | RVU24A |
| 2023-10-01 | Unavailable | Unavailable | RVU23D |
| 2023-07-01 | Unavailable | Unavailable | RVU23C |
| 2023-04-01 | Unavailable | Unavailable | RVU23B |
| 2023-01-01 | Unavailable | Unavailable | RVU23A |
| 2022-10-01 | Unavailable | Unavailable | RVU22D |
| 2022-07-01 | Unavailable | Unavailable | RVU22C |
| 2022-04-01 | Unavailable | Unavailable | RVU22B |
| 2022-01-01 | Unavailable | Unavailable | RVU22A |
| 2021-10-01 | Unavailable | Unavailable | RVU21D |
| 2021-07-01 | Unavailable | Unavailable | RVU21C |
| 2021-04-01 | Unavailable | Unavailable | RVU21B |
| 2021-01-01 | Unavailable | Unavailable | RVU21A |
| 2020-10-01 | Unavailable | Unavailable | RVU20D |
| 2020-07-01 | Unavailable | Unavailable | RVU20C |
| 2020-04-01 | Unavailable | Unavailable | RVU20B |
| 2020-01-01 | Unavailable | Unavailable | RVU20A |
| 2019-10-01 | Unavailable | Unavailable | RVU19D |
| 2019-07-01 | Unavailable | Unavailable | RVU19C |
| 2019-04-01 | Unavailable | Unavailable | RVU19B |
| 2019-01-01 | Unavailable | Unavailable | RVU19A |
| 2018-10-01 | Unavailable | Unavailable | RVU18D |
| 2018-07-01 | Unavailable | Unavailable | RVU18C |
| 2018-04-01 | Unavailable | Unavailable | RVU18B |
| 2018-01-01 | Unavailable | Unavailable | RVU18AR1 |
| 2017-10-01 | Unavailable | Unavailable | RVU17D |
| 2017-07-01 | Unavailable | Unavailable | RVU17C |
| 2017-04-01 | Unavailable | Unavailable | RVU17B |
| 2017-01-01 | Unavailable | Unavailable | RVU17A |
| 2016-10-01 | Unavailable | Unavailable | RVU16D |
| 2016-07-01 | Unavailable | Unavailable | RVU16C |
| 2016-04-01 | Unavailable | Unavailable | RVU16B |
| 2016-01-01 | Unavailable | Unavailable | RVU16A |
| 2015-10-01 | Unavailable | Unavailable | RVU15D |
| 2015-07-01 | Unavailable | Unavailable | RVU15C |
| 2015-04-01 | Unavailable | Unavailable | RVU15B |
| 2015-01-01 | Unavailable | Unavailable | RVU15A |
| 2014-10-01 | Unavailable | Unavailable | RVU14D |
| 2014-07-01 | Unavailable | Unavailable | RVU14C |
| 2014-04-01 | Unavailable | Unavailable | RVU14B |
| 2014-01-01 | Unavailable | Unavailable | RVU14A |
| 2013-10-01 | Unavailable | Unavailable | RVU13D |
| 2013-07-01 | Unavailable | Unavailable | RVU13C |
| 2013-04-01 | Unavailable | Unavailable | RVU13B |
| 2013-01-01 | Unavailable | Unavailable | RVU13AR |
Where the Virgin Islands, VI rate applies
Virgin Islands, VI is a Medicare payment area, not a city. Our Census mapping connects it to 10 cities and communities in United States Virgin Islands. Some span more than one payment area; confirm with the service ZIP.
- Charlotte Amalie
- Charlotte Amalie East
- Charlotte Amalie West
- Christiansted
- Coral Bay
- Cruz Bay
- Frederiksted
- Frederiksted Southeast
01490 billing questions
How does this differ from anesthesia code 01420?
01490 is for lower-leg cast application, removal, or repair. 01420 is for cast work at the knee joint.
When would 01462 be a better choice?
Use 01462 for anesthesia for a closed procedure on the lower leg, ankle, or foot when the anesthetized service is not the cast work described by 01490.
Does this code cover the cast procedure?
No. It represents the anesthesia service; the cast procedure is a separate service reported under the applicable procedure code.
What should the records show?
Document whether the cast was applied, removed, or repaired and identify the treated site. The anesthesia record should support the practitioner’s start and end times and personal attendance.
How are anesthesia units calculated for 01490?
The code has 3 base units, with time units added under Medicare’s anesthesia payment formula. Time is converted from minutes into 15-minute units to one decimal place.
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
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