CPT code 01758: Elbow cyst anesthesia, open or arthroscopic excision2026 Medicare rate & RVUs in Oregon
Anesthesia for open or arthroscopic elbow cyst excision, selected when removal of a cyst is the defining elbow procedure.
CMS doesn’t publish an office rate for 01758 in Oregon.
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 01758 covers
This code covers anesthesia for open or arthroscopic surgery to remove a cyst involving the elbow. An anesthesiologist or CRNA provides the anesthesia during the operative encounter, typically in a hospital operating room or ambulatory surgery center.
Choose 01758 when the operative work is elbow cyst excision, rather than the broader open or arthroscopic elbow category 01740 or codes for a different defined procedure, such as osteotomy or radical resection. The operative report should establish the elbow site and cyst excision, and the anesthesia record should support the service and its start and end times. Medicare assigns 5 base units; payment is the sum of base and time units multiplied by the locality’s anesthesia conversion factor. Time is reported in minutes and converted to 15-minute units to one decimal place, starting when the practitioner begins preparing the patient for anesthesia and ending when the practitioner is no longer in personal attendance and the patient can safely be placed under postoperative care.
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 01758 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland, OR | Unavailable | Unavailable |
| Rest of Oregon | Unavailable | Unavailable |
How the 01758 rate is calculated
Each of 01758’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 · 01758
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 01758
01758 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 · 01758
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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01758 isn’t priced in this setting.
01758 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 01740Other elbow anesthesiaOpen or arthroscopic, unspecified
- 01758 identifies elbow cyst excision. 01740 is the broader open or arthroscopic elbow category for procedures without a more specific anesthesia category.
- 01742Elbow osteotomyOpen or arthroscopic osteotomy
- 01742 is for elbow osteotomy; 01758 is for elbow cyst excision.
- 01744Elbow repair anesthesiaHumeral nonunion or malunion
- 01744 applies to elbow procedures involving humeral repair, rather than cyst removal.
- 01756Elbow anesthesiaRadical open or arthroscopic
- 01756 covers a defined radical procedure at the elbow; 01758 covers cyst excision.
01758 billing questions
How does 01758 differ from 01740?
Use 01758 when the elbow operation is cyst excision. Code 01740 is the broader category for open or arthroscopic elbow procedures not represented by a more specific procedure category.
Does an arthroscopic approach change the code?
No. 01758 covers elbow cyst excision performed through either an open or arthroscopic approach.
What documentation supports 01758?
The operative report should identify the elbow site and cyst removal. The anesthesia record should document the service and the times used to calculate anesthesia time.
How are Medicare anesthesia units calculated?
This code has 5 base units. Medicare adds time units and multiplies the total by the anesthesia conversion factor for the payment locality.
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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