CPT code 01920: Cardiac cath anesthesia2026 Medicare rate & RVUs in Georgia

Anesthesia for diagnostic or therapeutic cardiac catheterization, including catheter-based evaluation of the heart and coronary vessels.

CMS RVU26DEffective Oct 1, 20262 payment localities11.7K Medicare services in 2024

CMS doesn’t publish an office rate for 01920 in Georgia.

—Office (non-facility)
—Hospital or facility

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 9 sections
  1. Rate in Georgia
  2. What 01920 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 01920 covers

This code covers anesthesia for catheter-based evaluation or treatment of the heart, including diagnostic cardiac catheterization and catheter-based cardiac interventions. An anesthesiologist or CRNA provides the anesthesia care, commonly in a hospital cardiac catheterization laboratory; typically, a cardiologist performs the catheterization, and the anesthesia professional reports the anesthesia service. The operative and anesthesia records should identify the cardiac catheterization and document the anesthesia care and time.

Choose this code for cardiac catheterization rather than anesthesia for diagnostic arteriography or venography (01916), therapeutic interventional radiology involving arterial catheterization (01924–01926), or noninvasive imaging (01922). Medicare payment uses (7 base units + time units) × the locality’s anesthesia conversion factor. Anesthesia time is reported in minutes and converted to 15-minute time units rounded to one decimal; it starts when the practitioner begins preparing the patient for anesthesia and ends when the practitioner is no longer in personal attendance and the patient can safely be placed under postoperative care.

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 01920 pays more and less in Georgia

01920 office and facility rates by payment locality
Payment localityOfficeFacility
Atlanta, GAUnavailableUnavailable
Rest of GeorgiaUnavailableUnavailable

How the 01920 rate is calculated

Each of 01920’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 · 01920

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 01920

01920 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 · 01920

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

01920 isn’t priced in this setting.

01920 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 01920

    Cardiac cath anesthesia0 wRVU

    Not priced

  • 01916

    Angiography anesthesia, diagnostic artery or vein study0 wRVU

    Not priced

  • 01922

    Imaging anesthesia, imaging or radiation therapy0 wRVU

    Not priced

  • 01924

    Arterial intervention, other arterial sites0 wRVU

    Not priced

How to choose

01916Angiography anesthesiaDiagnostic artery or vein study
01920 is for anesthesia during cardiac catheterization. Use 01916 for anesthesia during diagnostic arteriography or venography outside cardiac catheterization.
01922Imaging anesthesiaImaging or radiation therapy
01920 involves cardiac catheterization; 01922 applies when anesthesia is provided for noninvasive imaging or radiation therapy.
01924Arterial interventionOther arterial sites
01920 is specific to cardiac catheterization. 01924 is for anesthesia during therapeutic arterial interventional radiology procedures.

01920 billing questions

When should 01920 be chosen over 01916?

Use 01920 when anesthesia supports cardiac catheterization. Code 01916 is for anesthesia during diagnostic arteriography or venography outside cardiac catheterization.

Does 01920 cover anesthesia for noninvasive cardiac imaging?

No. This code is for cardiac catheterization; anesthesia for noninvasive imaging is represented by 01922.

What should the anesthesia record show?

It should support anesthesia care for the cardiac catheterization and document the practitioner’s anesthesia time, including the start and end points used for reporting.

How are units calculated for Medicare?

This code has 7 base units. Medicare payment uses base units plus time units, multiplied by the locality’s anesthesia conversion factor; time is converted from minutes to 15-minute units rounded to one decimal.

How is medically directed care paid?

When an anesthesiologist medically directs a CRNA, Medicare pays each practitioner 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

Open CMS sourceHow we calculate rates

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