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

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

CMS RVU26DEffective Oct 1, 2026One payment locality48 Medicare services in 2024

CMS doesn’t publish a rate for 01860 in Houston, TX.

UnavailableOffice (non-facility)
UnavailableHospital or facility

Check a contract rate as a % of Medicare · 01860 nationwide

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

We’ll open 01860 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Houston, TX
  2. What 01860 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Houston, TX compares for 01860

01860 in Houston, TX vs other payment areas
  1. Houston, TX · this pageUnavailable
  2. Austin, TX · TexasUnavailable
  3. Beaumont, TX · TexasUnavailable
  4. Brazoria, TX · TexasUnavailable
  5. Dallas, TX · TexasUnavailable
  6. Fort Worth, TX · TexasUnavailable
  7. Galveston, TX · TexasUnavailable

Other areas in Texas first, then benchmark localities. Bars start at $0.

Every other payment area

01860 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas——
Los Angeles, CACalifornia——
Washington, DC areaDistrict of Columbia——
Miami, FLFlorida——
Chicago, ILIllinois——
Manhattan, NYNew York——
AlaskaAlaska——
AlabamaAlabama——

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

See 01860 in every payment locality

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.

Codes related to 01860

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

Codes related to 01860
CodeHow it relatesOffice range, Houston, TX
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

How 01860 has changed in Houston, TX

01860 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01UnavailableUnavailableRVU26D
2026-07-01UnavailableUnavailableRVU26C
2026-04-01UnavailableUnavailableRVU26B
2026-01-01UnavailableUnavailableRVU26A
2025-10-01UnavailableUnavailableRVU25D
2025-07-01UnavailableUnavailableRVU25C
2025-04-01UnavailableUnavailableRVU25B
2025-01-01UnavailableUnavailableRVU25A
2024-10-01UnavailableUnavailableRVU24D
2024-07-01UnavailableUnavailableRVU24C
2024-04-01UnavailableUnavailableRVU24B
2024-03-09UnavailableUnavailableRVU24AR
2024-01-01UnavailableUnavailableRVU24A
2023-10-01UnavailableUnavailableRVU23D
2023-07-01UnavailableUnavailableRVU23C
2023-04-01UnavailableUnavailableRVU23B
2023-01-01UnavailableUnavailableRVU23A
2022-10-01UnavailableUnavailableRVU22D
2022-07-01UnavailableUnavailableRVU22C
2022-04-01UnavailableUnavailableRVU22B
2022-01-01UnavailableUnavailableRVU22A
2021-10-01UnavailableUnavailableRVU21D
2021-07-01UnavailableUnavailableRVU21C
2021-04-01UnavailableUnavailableRVU21B
2021-01-01UnavailableUnavailableRVU21A
2020-10-01UnavailableUnavailableRVU20D
2020-07-01UnavailableUnavailableRVU20C
2020-04-01UnavailableUnavailableRVU20B
2020-01-01UnavailableUnavailableRVU20A
2019-10-01UnavailableUnavailableRVU19D
2019-07-01UnavailableUnavailableRVU19C
2019-04-01UnavailableUnavailableRVU19B
2019-01-01UnavailableUnavailableRVU19A
2018-10-01UnavailableUnavailableRVU18D
2018-07-01UnavailableUnavailableRVU18C
2018-04-01UnavailableUnavailableRVU18B
2018-01-01UnavailableUnavailableRVU18AR1
2017-10-01UnavailableUnavailableRVU17D
2017-07-01UnavailableUnavailableRVU17C
2017-04-01UnavailableUnavailableRVU17B
2017-01-01UnavailableUnavailableRVU17A
2016-10-01UnavailableUnavailableRVU16D
2016-07-01UnavailableUnavailableRVU16C
2016-04-01UnavailableUnavailableRVU16B
2016-01-01UnavailableUnavailableRVU16A
2015-10-01UnavailableUnavailableRVU15D
2015-07-01UnavailableUnavailableRVU15C
2015-04-01UnavailableUnavailableRVU15B
2015-01-01UnavailableUnavailableRVU15A
2014-10-01UnavailableUnavailableRVU14D
2014-07-01UnavailableUnavailableRVU14C
2014-04-01UnavailableUnavailableRVU14B
2014-01-01UnavailableUnavailableRVU14A
2013-10-01UnavailableUnavailableRVU13D
2013-07-01UnavailableUnavailableRVU13C
2013-04-01UnavailableUnavailableRVU13B
2013-01-01UnavailableUnavailableRVU13AR

Price 01860 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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

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