CPT code 01830: Wrist joint anesthesia, other wrist/hand joint procedures2026 Medicare rate & RVUs in Michigan
Anesthesia for open, operative arthroscopic, or endoscopic procedures on distal radius, distal ulna, wrist, or hand joints not assigned to a more specific category.
CMS doesn’t publish an office rate for 01830 in Michigan.
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 01830 covers
01830 is anesthesia for open, operative arthroscopic, or endoscopic procedures involving the distal radius or ulna, wrist, or hand joints when no more specific anesthesia category describes the operation. Typical services include therapeutic wrist arthroscopy and open wrist or hand joint reconstruction or fusion. These procedures are performed by orthopedic or hand surgeons in hospital operating rooms and ambulatory surgery centers; an anesthesia practitioner, such as an anesthesiologist or CRNA, reports the anesthesia service.
Select 01829 for diagnostic wrist arthroscopy and 01832 for total wrist replacement; 01830 covers other qualifying open or operative arthroscopic/endoscopic joint procedures. The operative report should identify the joint and bones treated, the procedure, and the approach; the anesthesia record should support the service and its start and end times. 01830 has 3 base units; Medicare payment is (base units + time units) multiplied by the locality’s anesthesia conversion factor. Anesthesia time is reported in minutes and converted to 15-minute units to one decimal place, from preparation for anesthesia until 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 01830 pays more and less in Michigan
| Payment locality | Office | Facility |
|---|---|---|
| Detroit, MI | Unavailable | Unavailable |
| Rest of Michigan | Unavailable | Unavailable |
How the 01830 rate is calculated
Each of 01830’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 · 01830
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 01830
01830 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 · 01830
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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01830 isn’t priced in this setting.
01830 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 01829Wrist arthroscopy anesthesiaDiagnostic procedure
- Choose 01829 for diagnostic wrist arthroscopy. Use 01830 when arthroscopy is operative or the qualifying procedure is open.
- 01832Wrist replacement anesthesiaTotal wrist replacement
- 01832 is specific to total wrist replacement. Other qualifying open or operative arthroscopic/endoscopic procedures on wrist or hand joints use 01830.
- 01820Wrist and hand bone anesthesiaClosed bone procedures
- 01820 describes anesthesia for closed procedures involving the radius or ulna bones. Use 01830 for qualifying open or operative arthroscopic/endoscopic joint procedures.
01830 billing questions
Does 01830 cover diagnostic wrist arthroscopy?
No. Use 01829 for diagnostic wrist arthroscopy; 01830 covers qualifying open or operative arthroscopic/endoscopic procedures.
When is 01832 used instead?
Use 01832 for anesthesia for total wrist replacement. Other qualifying open or operative arthroscopic/endoscopic wrist or hand joint procedures fall under 01830.
What documentation supports choosing 01830?
The operative report should identify the joint and bones involved, the procedure, and its approach. The anesthesia record should support the service and its start and end times.
How are the units calculated?
01830 has 3 base units. Medicare adds time units, calculated from anesthesia minutes in 15-minute units to one decimal place, then applies the locality’s anesthesia conversion factor.
Who reports this anesthesia code?
The anesthesia practitioner, such as an anesthesiologist or CRNA, reports the anesthesia service; the operating surgeon reports the surgical procedure.
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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