FeeBase
Log inGet started
Menu

CPT code 01860: Cast anesthesia, forearm, wrist, or hand2026 Medicare rate & RVUs

Reports anesthesia for cast application, removal, or repair involving the forearm, wrist, or hand when those cast procedures require anesthesia.

CMS RVU26DEffective Oct 1, 2026109 payment localities48 Medicare services in 2024

Medicare rate · 01860

Cast anesthesia, forearm, wrist, or hand

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 01860 →Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 01860 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 01860 covers

01860 covers anesthesia for cast application, removal, or repair involving the forearm, wrist, or hand. An anesthesia practitioner provides and reports the anesthetic while the treating clinician performs the cast work, commonly in a facility setting. The operative record should identify the body site and cast action; the anesthesia record should support the anesthesia service and its start and end times.

Select 01860 for anesthesia provided for the cast service, rather than for a closed bone procedure (01820), a nerve or muscle procedure (01810), or an arthroscopic or endoscopic wrist or hand procedure (01830); diagnostic wrist arthroscopy is described by 01829. The code has 3 base units, and Medicare payment is (base units + time units) multiplied by the locality’s anesthesia conversion factor. Anesthesia time is counted in minutes from preparation until personal attendance ends and the patient can safely be placed under postoperative care, then converted to 15-minute units 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 01860 pays more and less

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

109 of 109 payment localities

01860 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

01860 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
01860 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 01860 rate is calculated

Each of 01860’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 · 01860

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 01860

01860 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 · 01860

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

01860 isn’t priced in this setting.

01860 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 01860

    Cast anesthesia, forearm, wrist, or hand0 wRVU

    Not priced

  • 01820

    Wrist and hand bone anesthesia, closed bone procedures0 wRVU

    Not priced

  • 01810

    Forearm and hand anesthesia, nerve, muscle, tendon0 wRVU

    Not priced

  • 01830

    Wrist joint anesthesia, other wrist/hand joint procedures0 wRVU

    Not priced

  • 01829

    Wrist arthroscopy anesthesia, diagnostic procedure0 wRVU

    Not priced

How to choose

01820Wrist and hand bone anesthesiaClosed bone procedures
01860 is for cast application, removal, or repair. Choose 01820 when anesthesia is for a closed procedure on the radius, ulna, wrist, or hand bones.
01810Forearm and hand anesthesiaNerve, muscle, tendon
01810 applies to nerve or muscle procedures of the forearm or wrist, rather than cast work.
01830Wrist joint anesthesiaOther wrist/hand joint procedures
01830 is for arthroscopic or endoscopic wrist or hand procedures; 01860 is for cast application, removal, or repair.
01829Wrist arthroscopy anesthesiaDiagnostic procedure
01829 is for diagnostic wrist arthroscopy. Use 01860 for anesthesia during cast work involving the forearm, wrist, or hand.

Codes related to 01860

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

Codes related to 01860
CodeHow it relatesNational office range
Same family
01820Wrist and hand bone anesthesia, closed bone proceduresFor anesthesia during closed procedures on forearm, wrist, or hand bones.No office rate
01810Forearm and hand anesthesia, nerve, muscle, tendonFor anesthesia during nerve or muscle procedures of the forearm or wrist.No office rate
01830Wrist joint anesthesia, other wrist/hand joint proceduresFor anesthesia during arthroscopic or endoscopic wrist or hand procedures.No office rate
01829Wrist arthroscopy anesthesia, diagnostic procedureFor anesthesia during diagnostic arthroscopic procedures on the wrist.No office rate

01860 billing questions

When should 01860 be chosen instead of 01820?

Use 01860 when anesthesia is for applying, removing, or repairing a forearm, wrist, or hand cast. Use 01820 when anesthesia is for a closed procedure on the radius, ulna, wrist, or hand bones.

How does 01860 differ from 01830?

01860 is for anesthesia during cast application, removal, or repair. 01830 is for arthroscopic or endoscopic procedures of the wrist or hand.

What should the records show?

The operative record should identify the treated site and the cast work performed. The anesthesia record should support the anesthesia service and its start and end times.

How are anesthesia units calculated for 01860?

Medicare payment uses 3 base units plus time units, multiplied by the locality’s anesthesia conversion factor. Anesthesia time is converted from minutes into 15-minute units and computed to one decimal place.

Does 01860 report the cast procedure itself?

No. It identifies anesthesia provided for the cast work; the treating clinician reports the cast service, and the anesthesia record supports the anesthesia 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

Open CMS sourceHow we calculate rates

Did this answer your question about what 01860 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 01860 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist