Anesthesia and Pain Management

Access CMS-level guidance for anesthesia services through the following links.
  • CMS 'Anesthesiologists Center'
    • Includes a spreadsheet of base units by CPT code and current year Anesthesia Conversion Factor
  • CMS Medicare Claims Processing Manual (Pub. 100-04), Chapter 12 (PDF, 1.1 MB)
    • Definitions of personally performed, medically directed and medically supervised: section 50
    • Definition of concurrent procedures: section 50.C
    • Anesthesia claims modifiers: section 50.I
    • Anesthesia and Teaching Facilities: section 100.1.2.A.4
    • Qualified Nonphysician Anesthetists Services (CRNAs and AAs): section 140
    • Billing Modifiers for qualified nonphysician anesthetists: section 140.3.3

Contact Railroad Medicare

Email Railroad Medicare

Contact a specific Railroad Medicare department

Provider Contact Center: 888-355-9165

IVR: 877-288-7600

TTY: 877-715-6397

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC


National Supplier Clearinghouse MAC


RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries



Click to Chat Now