Powered by Oracle® RightNow

Fee Screen Year (FSY) 2014 Anesthesia Conversion Factors

On December 26, 2013, the President signed the Pathway for SGR Reform Act of 2013. This Act provided a three month 0.5 percent update to the 2014 Medicare Physicians Fee Schedule effective for dates of service January 1, 2014, through March 31, 2014. This legislation also contained a number of provisions which extended certain Medicare fee-for-service policies, including the work geographic adjustment floor and the therapy cap exceptions process. The pricing below reflects the anesthesia conversion factor 0.5% increase and the geographic adjustment floor provisions.

On April 1, 2014, the President signed into law the “Protecting Access to Medicare Act of 2014.” This Act extends the 0.5% fee schedule increase and other provisions through December 31, 2014.

For physician-directed anesthesia services, the allowance for both the physician and the Certified Registered Nurse Anesthetist (CRNA) is 50 percent of the allowance for the anesthesia service if performed by the physician or CRNA alone.

The Medicare approved amount for an anesthesia service is calculated as follows: (Base Units + Time Units) x Conversion Factor = Approved Amount

To determine the medically directed rate, multiply the approved amount by 50%.

Anesthesia Conversion Factors effective January 1, 2014, through December 31, 2014

(UPDATED 1/6/2014)

The chart below lists the FSY 2014 anesthesia participating, non-participating, and limiting charge conversion factors (CFs) effective for dates of service January 1, 2014, through December 31, 2014.

State Locality Participating Physician and CRNA CF Non-participating Physician CF Limiting Charge CF
Iowa   $ 21.31 $ 20.24 $ 23.28
Kansas   $ 21.97 $ 20.87 $ 24.00
Missouri 01 $ 22.62 $ 21.49 $ 24.71
Missouri 02 $ 22.76 $ 21.62 $ 24.86
Missouri 99 $ 22.13 $ 21.02 $ 24.17
Nebraska   $ 21.11 $ 20.05 $ 23.06

NOTE: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material that is copyrighted by the American Medical Association. You are forbidden to download the files unless you read, agree to, and abide by the provisions of the copyright statement. Read the copyright statement now.

Page Last Updated: Tuesday, 15-Jul-2014 09:21:17 CDT