CPT code 01712: Upper-arm tenotomy, open procedure, elbow to shoulder2026 Medicare rate & RVUs in Texas
Anesthesia for open tenotomy of a tendon in the upper arm between the elbow and shoulder, reported for the operative encounter.
CMS doesn’t publish an office rate for 01712 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.
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What 01712 covers
This service covers anesthesia for an open tenotomy of a tendon in the upper arm, between the elbow and shoulder. An anesthesiologist or CRNA provides and reports anesthesia for the operative encounter.
Choose this code when the operative report identifies an open tendon division in that region. Tenoplasty and tenodesis have separate anesthesia codes, while 01710 is for an upper-arm or elbow nerve, muscle, or tendon procedure not otherwise specified. The anesthesia record and operative report should support the site, open approach, and tenotomy. This code has 5 base units; Medicare payment is (base units + time units) multiplied by the locality's anesthesia conversion factor, which varies by locality. Anesthesia time is reported in minutes from when the practitioner begins preparing the patient until the practitioner is no longer in personal attendance and the patient can safely be placed under postoperative care, then 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 01712 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
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | Unavailable |
| Beaumont, TX | Unavailable | Unavailable |
| Brazoria, TX | Unavailable | Unavailable |
| Dallas, TX | Unavailable | Unavailable |
| Fort Worth, TX | Unavailable | Unavailable |
| Galveston, TX | Unavailable | Unavailable |
| Houston, TX | Unavailable | Unavailable |
| Rest of Texas | Unavailable | Unavailable |
How the 01712 rate is calculated
Each of 01712’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 · 01712
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 01712
01712 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 · 01712
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
—
01712 isn’t priced in this setting.
01712 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 01710Upper-arm/elbow anesthesiaNerve, muscle, tendon NOS
- 01710 is for an upper-arm or elbow nerve, muscle, or tendon procedure without a more specific procedure type. Use 01712 when the documented procedure is open tenotomy.
- 01714Tenoplasty anesthesiaUpper arm or elbow
- 01714 is for tenoplasty. 01712 applies when the tendon procedure is an open tenotomy.
- 01716Tenodesis anesthesiaUpper arm or elbow
- 01716 is for tenodesis. 01712 applies to open tenotomy in the upper arm between elbow and shoulder.
- 01740Other elbow anesthesiaOpen or arthroscopic, unspecified
- 01740 is for an open or arthroscopic elbow procedure not otherwise specified; 01712 identifies open tenotomy in the upper arm region between elbow and shoulder.
01712 billing questions
When should I choose 01712 instead of 01714 or 01716?
Use 01712 for an open tenotomy in the upper arm between the elbow and shoulder. The neighboring codes identify tenoplasty and tenodesis, respectively.
How does 01712 differ from 01710?
01712 identifies an open tenotomy; 01710 is the nonspecific code for an upper-arm or elbow nerve, muscle, or tendon procedure when no more specific procedure type is identified.
What should the records document?
The operative report should establish the tendon site, open approach, and tenotomy. The anesthesia record should support the anesthesia service and its start and end times.
How are Medicare anesthesia units calculated?
The code carries 5 base units, which are combined with time units and multiplied by the locality's anesthesia conversion factor. Time is recorded in minutes and converted to 15-minute units to one decimal place.
How does Medicare pay when an anesthesiologist medically directs a CRNA?
Medicare pays each 50% of the allowance for the personally performed service when the anesthesiologist medically directs the CRNA.
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.
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