CPT code 01852: Vein repair anesthesia, suture repair2026 Medicare rate & RVUs in Pennsylvania
Anesthesia for suture repair of a vein in the forearm, wrist, or hand, reported for phleborrhaphy procedures.
CMS doesn’t publish an office rate for 01852 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 01852 covers
01852 covers anesthesia for phleborrhaphy, a surgical suture repair of a vein in the forearm, wrist, or hand. An anesthesia practitioner provides anesthesia while the surgeon repairs the vein, typically in an operating room.
Choose 01852 when the operative report identifies phleborrhaphy; 01850 describes other vein procedures in the same regions that are not otherwise specified. The operative report should identify the vein’s location and the suture repair, while the anesthesia record supports the anesthesia service and its time boundaries. This code has 4 base units. Medicare payment is base units plus time units, multiplied by the locality’s anesthesia conversion factor. Anesthesia time begins when the practitioner starts preparing the patient and ends when the practitioner is no longer in personal attendance and the patient can safely be placed under postoperative care; minutes convert to 15-minute units calculated to one decimal place. 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 01852 pays more and less in Pennsylvania
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Philadelphia, PA | Unavailable | Unavailable |
| Rest of Pennsylvania | Unavailable | Unavailable |
How the 01852 rate is calculated
Each of 01852’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 · 01852
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 01852
01852 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 · 01852
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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01852 isn’t priced in this setting.
01852 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 01850Vein procedure anesthesiaForearm, wrist, or hand
- 01852 identifies anesthesia for suture repair of a vein in the forearm, wrist, or hand. Use 01850 for other vein procedures in those regions that are not otherwise specified.
- 01840Arterial procedure anesthesiaForearm, wrist, or hand
- 01840 applies to arterial procedures in the forearm, wrist, or hand. 01852 is for suture repair of a vein.
- 01844Shunt anesthesiaCreation or revision
- 01844 applies to arteriovenous shunt or shunt-revision procedures. 01852 is for phleborrhaphy, not shunt work.
01852 billing questions
When should 01852 be chosen instead of 01850?
Use 01852 for anesthesia for phleborrhaphy, the suture repair of a vein in the forearm, wrist, or hand. Use 01850 for other vein procedures in those regions that are not otherwise specified.
Does 01852 describe the surgeon’s vein repair?
No. It reports the anesthesia service. The surgeon reports the operative repair separately under the applicable surgical code.
What should the records show?
The operative report should identify the vein’s location and document suture repair. The anesthesia record should support the anesthesia service and show the time from preparation for anesthesia through the end of personal attendance when the patient can safely be placed under postoperative care.
How are time units calculated for 01852?
Anesthesia time is reported in minutes and converted to units per 15 minutes, calculated to one decimal place. Medicare payment uses the 4 base units plus time units, multiplied by the locality’s anesthesia conversion factor.
How does Medicare pay when an anesthesiologist medically directs a CRNA?
When the anesthesiologist medically directs the CRNA, Medicare pays each 50% of the allowance for the personally performed service.
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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