CPT code 01850: Vein procedure anesthesia, forearm, wrist, or hand2026 Medicare rate & RVUs in Washington
Anesthesia for vein procedures involving the forearm, wrist, or hand when the procedure is not represented by a more specific anesthesia category.
CMS doesn’t publish an office rate for 01850 in Washington.
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 01850 covers
01850 represents anesthesia for a vein procedure involving the forearm, wrist, or hand when the procedure is not represented by a more specific anesthesia category. An anesthesia practitioner reports the anesthetic service; the surgeon reports the underlying operation. The operative record should identify the treated vein, its site, and the procedure, while the anesthesia record supports the anesthesia service and its time.
Choose 01850 for a venous procedure in these regions that is not phleborrhaphy; 01852 identifies anesthesia for phleborrhaphy. Use 01840 for arterial procedures and 01844 for vascular shunt or shunt-revision procedures. 01850 has 3 base units, and Medicare payment is (base units + time units) × the locality’s anesthesia conversion factor. Anesthesia time is recorded in minutes and converted to 15-minute units to one decimal place, from when the practitioner begins preparing the patient until personal attendance ends and the patient can safely enter postoperative care; the conversion factor varies by locality.
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 01850 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| King County, WA | Unavailable | Unavailable |
| Rest of Washington | Unavailable | Unavailable |
How the 01850 rate is calculated
Each of 01850’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 · 01850
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 01850
01850 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 · 01850
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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01850 isn’t priced in this setting.
01850 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 01852Vein repair anesthesiaSuture repair
- Choose 01852 for phleborrhaphy in the forearm, wrist, or hand. Use 01850 for other qualifying vein procedures in those regions.
- 01840Arterial procedure anesthesiaForearm, wrist, or hand
- 01840 describes anesthesia for arterial procedures in the forearm, wrist, or hand; 01850 is for procedures on veins.
- 01844Shunt anesthesiaCreation or revision
- 01844 is for anesthesia for vascular shunt procedures or shunt revision. Use 01850 for a vein procedure that is not classified as a shunt procedure.
01850 billing questions
When should 01850 be selected instead of 01852?
Use 01850 for a forearm, wrist, or hand vein procedure that is not phleborrhaphy. Use 01852 for anesthesia for phleborrhaphy.
How does 01850 differ from 01840?
01850 is for procedures on veins in the forearm, wrist, or hand. 01840 is for procedures on arteries in those regions.
What should the operative and anesthesia records show?
The operative report should identify the vein, the forearm, wrist, or hand site, and the procedure performed. The anesthesia record should support the reported time, including its start and end points.
How are Medicare anesthesia units calculated for 01850?
The code has 3 base units. Medicare adds time units, calculated from anesthesia minutes in 15-minute units to one decimal place, then multiplies the total by the locality’s anesthesia conversion factor.
Is the vein operation reported with this anesthesia code?
The surgeon reports the vein procedure, while 01850 represents the anesthesia service for that 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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