CPT code 01840: Arterial procedure anesthesia, forearm, wrist, or hand2026 Medicare rate & RVUs in California

Reports anesthesia for arterial procedures on the forearm, wrist, or hand when a more specific arterial anesthesia code does not identify the procedure.

CMS RVU26DEffective Oct 1, 202629 payment localities3.4K Medicare services in 2024

CMS doesn’t publish an office rate for 01840 in California.

—Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in California
  2. What 01840 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 01840 covers

This code covers anesthesia for arterial procedures involving the forearm, wrist, or hand when the procedure does not fit a more specific arterial category. An anesthesiologist or CRNA reports the anesthesia service in the operative or procedural setting. Arterial embolization and vascular shunt procedures have nearby anesthesia codes with more specific descriptions.

The operative report should identify the arterial procedure and body site, and the anesthesia record should support the service and anesthesia time. Medicare assigns this code 6 base units and pays base units plus 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; it begins with anesthesia preparation and ends when the practitioner is no longer personally attending 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 01840 pays more and less in California

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

29 of 29 payment localities

01840 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CAUnavailableUnavailable
Chico, CAUnavailableUnavailable
El Centro, CAUnavailableUnavailable
Fresno, CAUnavailableUnavailable
Hanford, CAUnavailableUnavailable
Los Angeles, CAUnavailableUnavailable
Madera, CAUnavailableUnavailable
Marin County, CAUnavailableUnavailable
Merced, CAUnavailableUnavailable
Modesto, CAUnavailableUnavailable

How the 01840 rate is calculated

Each of 01840’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 · 01840

RVUs × geographic indexes × conversion factor

Office or facility?

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 01840

01840 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 · 01840

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

01840 isn’t priced in this setting.

01840 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 01840

    Arterial procedure anesthesia, forearm, wrist, or hand0 wRVU

    Not priced

  • 01842

    Embolectomy anesthesia, forearm, wrist, or hand arteries0 wRVU

    Not priced

  • 01844

    Shunt anesthesia, creation or revision0 wRVU

    Not priced

  • 01850

    Vein procedure anesthesia, forearm, wrist, or hand0 wRVU

    Not priced

How to choose

01842Embolectomy anesthesiaForearm, wrist, or hand arteries
Choose 01842 for arterial embolization in the forearm, wrist, or hand; 01840 is for other arterial procedures in those regions.
01844Shunt anesthesiaCreation or revision
01844 identifies anesthesia for vascular shunt or shunt revision procedures. 01840 applies to other arterial procedures of the forearm, wrist, or hand.
01850Vein procedure anesthesiaForearm, wrist, or hand
01850 applies to vein procedures of the forearm, wrist, or hand. 01840 applies when the operative target is an artery.

01840 billing questions

When should 01840 be chosen instead of 01842?

Use 01842 for anesthesia for arterial embolization of the forearm, wrist, or hand. Use 01840 for other arterial procedures in those regions that are not described by a more specific code.

How does 01840 differ from 01844?

01844 is for anesthesia for vascular shunt or shunt revision procedures. 01840 covers other arterial procedures of the forearm, wrist, or hand.

How are Medicare anesthesia units calculated for 01840?

The code has 6 base units. Medicare adds time units, calculated from reported anesthesia minutes in 15-minute units to one decimal place, then applies the locality’s anesthesia conversion factor.

What should the records show?

The operative report should identify the arterial procedure and its site in the forearm, wrist, or hand. The anesthesia record should support the anesthesia service and the start and end of anesthesia time.

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

Open CMS sourceHow we calculate rates

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