CPT code 01772: Arterial embolectomy, upper arm or elbow2026 Medicare rate & RVUs in Pennsylvania
Anesthesia for operative removal of an arterial embolus in the upper arm or elbow region, reported for the vascular procedure.
CMS doesn’t publish an office rate for 01772 in Pennsylvania.
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 01772 covers
This code covers anesthesia for an operation that removes an embolus from an artery in the upper arm or elbow region to restore blood flow. An anesthesiologist or CRNA reports it for anesthesia furnished during the vascular operation, typically in a facility operating room. The surgeon’s claim represents the embolectomy; this code represents the anesthesia care.
Choose 01772 when the operative procedure is an embolectomy in this arterial territory. For other arterial procedures in the same region, consider 01770; procedures on veins belong to the related venous anesthesia codes. The operative report should identify the arterial site and embolus-removal procedure, and the anesthesia record should support the care and time reported. This code has 6 base units; Medicare payment is (base units + time units) × the locality’s anesthesia conversion factor. Time is reported in minutes and converted to 15-minute units to one decimal, from anesthesia preparation until personal attendance ends and the patient can safely enter 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 01772 pays more and less in Pennsylvania
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Philadelphia, PA | Unavailable | Unavailable |
| Rest of Pennsylvania | Unavailable | Unavailable |
How the 01772 rate is calculated
Each of 01772’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 · 01772
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 01772
01772 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 · 01772
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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01772 isn’t priced in this setting.
01772 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 01770Arterial anesthesiaUpper arm and elbow
- Use 01772 for arterial embolectomy in the upper arm or elbow region; use 01770 for other arterial procedures there.
- 01780Upper arm vein anesthesiaUpper arm and elbow, other vein procedures
- 01780 covers procedures on veins in the upper arm or elbow region. 01772 is for arterial embolectomy.
- 01782Vein repair anesthesiaUpper arm and elbow
- 01782 is for vein removal procedures in the same region; 01772 is for arterial embolus removal.
01772 billing questions
When should 01772 be chosen instead of 01770?
Use 01772 for anesthesia during an arterial embolectomy in the upper arm or elbow region. Code 01770 is for other arterial procedures in that region.
What documentation supports 01772?
The operative report should establish the arterial site and that the operation removes an embolus. The anesthesia record should support the anesthesia care and reported time.
Is the surgeon’s embolectomy reported separately?
Yes. The surgeon reports the operative service, while 01772 represents anesthesia furnished for that operation.
How are units calculated for 01772?
The code has 6 base units, and anesthesia time is converted from minutes to 15-minute units rounded to one decimal. Medicare applies 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.
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