CPT code 01852: Vein repair anesthesia, suture repair2026 Medicare rate & RVUs in Puerto Rico

CMS doesn’t publish a rate for 01852 in Puerto Rico.

Check a contract rate as a % of Medicare · 01852 nationwide

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

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.

How Puerto Rico compares for 01852

Every other payment area

01852 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 01852 in every payment locality

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.

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.

Codes related to 01852

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 01852 has changed in Puerto Rico

Price 01852 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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