Anesthesia Conversion Factors - JE Part B
Anesthesia Conversion Factors
The anesthesia conversion factors for each calendar year are listed by payment locality and are effective for the date the service was provided. The participating physician anesthesia conversion factor is listed first, the non-participating physician anesthesia conversion factor is second, and the limiting charge is listed in the third column.
The non-participating physician conversion factor is computed at 95 percent of the participating physician conversion factor. The limitation in the statute requires that Qualified Nonphysician Anesthetist services not exceed the conversion factor for physicians' anesthesia services.
X
2023
CMS released the following anesthesia conversion factors that are effective for dates of service January 1, 2023 through December 31, 2023.
| State | Locality | Par | Non-Par | Limiting Charge |
|---|---|---|---|---|
| Hawaii | Hawaii/Pacific Islands | $21.18 | $20.12 | $23.14 |
| Nevada | Nevada | $21.25 | $20.19 | $23.22 |
| Northern California | Area 05 - San Francisco County | $23.04 | $21.89 | $25.17 |
| Northern California | Area 06 - San Mateo County | $23.04 | $21.89 | $25.17 |
| Northern California | Area 07 - Alameda and Contra Costa Counties | $23.04 | $21.89 | $25.17 |
| Northern California | Area 09 - Santa Clara County | $23.37 | $22.20 | $25.53 |
| Northern California | Area 51 - Napa County | $22.23 | $21.12 | $24.29 |
| Northern California | Area 52 - Marin County | $23.08 | $21.93 | $25.21 |
| Northern California | Area 53 - Solano County | $22.20 | $21.09 | $24.25 |
| Northern California | Area 54 - Kern County | $21.44 | $20.37 | $23.42 |
| Northern California | Area 55 - Butte County | $21.19 | $20.13 | $23.15 |
| Northern California | Area 56 - Fresno County | $21.19 | $20.13 | $23.15 |
| Northern California | Area 57 - Kings County | $21.19 | $20.13 | $23.15 |
| Northern California | Area 58 - Madera County | $21.19 | $20.13 | $23.15 |
| Northern California | Area 59 - Merced County | $21.19 | $20.13 | $23.15 |
| Northern California | Area 60 - Stanislaus County | $21.19 | $20.13 | $23.15 |
| Northern California | Area 61 - Shasta County | $21.19 | $20.13 | $23.15 |
| Northern California | Area 62 - Riverside and San Bernardino Counties | $21.64 | $20.56 | $23.64 |
| Northern California | Area 63 - Placer and Sacramento Counties | $21.57 | $20.49 | $23.57 |
| Northern California | Area 64 - Monterey County | $21.91 | $20.81 | $23.94 |
| Northern California | Area 65 - San Benito County | $23.59 | $22.41 | $25.77 |
| Northern California | Area 66 - Santa Cruz County | $21.79 | $20.70 | $23.81 |
| Northern California | Area 67 - Sonoma County | $21.87 | $20.78 | $23.89 |
| Northern California | Area 68 - San Joaquin County | $21.19 | $20.13 | $23.15 |
| Northern California | Area 69 - Tulare County | $21.19 | $20.13 | $23.15 |
| Northern California | Area 70 - Sutter County | $21.19 | $20.13 | $23.15 |
| Northern California | Area 75 - All Other Counties | $21.19 | $20.13 | $23.15 |
| Southern California | Area 17 - Ventura County | $21.78 | $20.69 | $23.79 |
| Southern California | Area 18 - Los Angeles County | $22.14 | $21.03 | $24.19 |
| Southern California | Area 26 - Orange County | $22.14 | $21.03 | $24.19 |
| Southern California | Area 71 - Imperial County | $21.21 | $20.15 | $23.17 |
| Southern California | Area 72 - San Diego County | $21.73 | $20.64 | $23.74 |
| Southern California | Area 73 - San Luis Obispo County | $21.30 | $20.24 | $23.27 |
| Southern California | Area 74 - Santa Barbara County | $21.68 | $20.60 | $23.69 |
2022
The CY 2022 Anesthesia Conversion Factor fees have been updated due to the Protecting Medicare and American Farmers from Sequestor Cuts Act. The fees are valid for dates of service January 1, 2022 - December 31, 2022.
| State | Locality | Par | Non-Par | Limiting Charge |
|---|---|---|---|---|
| Hawaii | Hawaii/Pacific Islands | $21.78 | $20.69 | $23.79 |
| Nevada | Nevada | $22.12 | $21.01 | $24.17 |
| Northern California | Area 05 - San Francisco County | $23.26 | $22.10 | $25.41 |
| Northern California | Area 06 - San Mateo County | $23.26 | $22.10 | $25.41 |
| Northern California | Area 07 - Alameda and Contra Costa Counties | $23.26 | $22.10 | $25.41 |
| Northern California | Area 09 - Santa Clara County | $23.70 | $22.52 | $25.89 |
| Northern California | Area 51 - Napa County | $22.39 | $21.27 | $24.46 |
| Northern California | Area 52 - Marin County | $23.32 | $22.15 | $25.48 |
| Northern California | Area 53 - Solano County | $22.39 | $21.27 | $24.46 |
| Northern California | Area 54 - Kern County | $22.02 | $20.92 | $24.06 |
| Northern California | Area 55 - Butte County | $21.69 | $20.61 | $23.70 |
| Northern California | Area 56 - Fresno County | $21.69 | $20.61 | $23.70 |
| Northern California | Area 57 - Kings County | $21.69 | $20.61 | $23.70 |
| Northern California | Area 58 - Madera County | $21.69 | $20.61 | $23.70 |
| Northern California | Area 59 - Merced County | $21.69 | $20.61 | $23.70 |
| Northern California | Area 60 - Stanislaus County | $21.69 | $20.61 | $23.70 |
| Northern California | Area 61 - Shasta County | $21.69 | $20.61 | $23.70 |
| Northern California | Area 62 - Riverside and San Bernardino Counties | $22.18 | $21.07 | $24.23 |
| Northern California | Area 63 - Placer and Sacramento Counties | $21.93 | $20.83 | $23.96 |
| Northern California | Area 64 - Monterey County | $22.55 | $21.42 | $24.64 |
| Northern California | Area 65 - San Benito County | $23.95 | $22.75 | $26.17 |
| Northern California | Area 66 - Santa Cruz County | $22.48 | $21.36 | $24.56 |
| Northern California | Area 67 - Sonoma County | $22.38 | $21.26 | $24.45 |
| Northern California | Area 68 - San Joaquin County | $21.69 | $20.61 | $23.70 |
| Northern California | Area 69 - Tulare County | $21.69 | $20.61 | $23.70 |
| Northern California | Area 70 - Sutter County | $21.69 | $20.61 | $23.70 |
| Northern California | Area 75 - All Other Counties | $21.69 | $20.61 | $23.70 |
| Southern California | Area 17 - Ventura County | $22.26 | $21.15 | $24.32 |
| Southern California | Area 18 - Los Angeles County | $22.64 | $21.51 | $24.73 |
| Southern California | Area 26 - Orange County | $22.64 | $21.51 | $24.73 |
| Southern California | Area 71 - Imperial County | $21.72 | $20.63 | $23.73 |
| Southern California | Area 72 - San Diego County | $22.22 | $21.11 | $24.28 |
| Southern California | Area 73 - San Luis Obispo County | $21.78 | $20.69 | $23.79 |
| Southern California | Area 74 - Santa Barbara County | $22.31 | $21.19 | $24.37 |
2021
CMS released the following anesthesia conversion factors that are effective for dates of service January 1, 2021 through December 31, 2021.
| State | Locality | Par | Non-Par | Limiting Charge |
|---|---|---|---|---|
| Hawaii | Hawaii/Pacific Islands | $21.79 | $20.70 | $23.81 |
| Nevada | Nevada | $22.11 | $21.00 | $24.16 |
| Northern California | Area 05 - San Francisco County | $23.26 | $22.10 | $25.41 |
| Northern California | Area 06 - San Mateo County | $23.26 | $22.10 | $25.41 |
| Northern California | Area 07 - Alameda and Contra Costa Counties | $23.26 | $22.10 | $25.41 |
| Northern California | Area 09 - Santa Clara County | $23.70 | $22.52 | $25.89 |
| Northern California | Area 51 - Napa County | $22.39 | $21.27 | $24.46 |
| Northern California | Area 52 - Marin County | $23.16 | $22.00 | $25.30 |
| Northern California | Area 53 - Solano County | $22.39 | $21.27 | $24.46 |
| Northern California | Area 54 - Kern County | $21.98 | $20.88 | $24.01 |
| Northern California | Area 55 - Butte County | $21.71 | $20.62 | $23.72 |
| Northern California | Area 56 - Fresno County | $21.71 | $20.62 | $23.72 |
| Northern California | Area 57 - Kings County | $21.71 | $20.62 | $23.72 |
| Northern California | Area 58 - Madera County | $21.71 | $20.62 | $23.72 |
| Northern California | Area 59 - Merced County | $21.71 | $20.62 | $23.72 |
| Northern California | Area 60 - Stanislaus County | $21.71 | $20.62 | $23.72 |
| Northern California | Area 61 - Shasta County | $21.71 | $20.62 | $23.72 |
| Northern California | Area 62 - Riverside and San Bernardino Counties | $22.10 | $21.00 | $24.14 |
| Northern California | Area 63 - Placer and Sacramento Counties | $21.90 | $20.81 | $23.93 |
| Northern California | Area 64 - Monterey County | $22.42 | $21.30 | $24.49 |
| Northern California | Area 65 - San Benito County | $23.56 | $22.38 | $25.74 |
| Northern California | Area 66 - Santa Cruz County | $22.35 | $21.23 | $24.42 |
| Northern California | Area 67 - Sonoma County | $22.28 | $21.17 | $24.34 |
| Northern California | Area 68 - San Joaquin County | $21.71 | $20.62 | $23.72 |
| Northern California | Area 69 - Tulare County | $21.71 | $20.62 | $23.72 |
| Northern California | Area 70 - Sutter County | $21.71 | $20.62 | $23.72 |
| Northern California | Area 75 - All Other Counties | $21.71 | $20.62 | $23.72 |
| Southern California | Area 17 - Ventura County | $22.26 | $21.15 | $24.32 |
| Southern California | Area 18 - Los Angeles County | $22.64 | $21.51 | $24.73 |
| Southern California | Area 26 - Orange County | $22.64 | $21.51 | $24.73 |
| Southern California | Area 71 - Imperial County | $21.73 | $20.64 | $23.74 |
| Southern California | Area 72 - San Diego County | $22.14 | $21.03 | $24.19 |
| Southern California | Area 73 - San Luis Obispo County | $21.77 | $20.68 | $23.78 |
| Southern California | Area 74 - Santa Barbara County | $22.20 | $21.09 | $24.25 |
Resource
- CMS Anesthesiologists Center - View anesthesia conversion factors.
Last Updated Thu, 19 Jan 2023 13:40:51 +0000