WV Anesthesia Fee Schedule and Conversion Factor
Customize your policy alerts
Sign up for all West Virginia Bureau for Medical Services (Department of Human Services) policy alerts
Know when West Virginia Bureau for Medical Services (Department of Human Services) releases new policies or updates existing guidance.
Monitor payer policy activity
This document lists the West Virginia Bureau for Medical Services anesthesia base units and WV Medicaid rates (prior to time units) and specifies the conversion factor used to calculate payment amounts for anesthesia services effective 04/01/26 - 03/31/27. It affects providers billing anesthesia services to WV Medicaid.
No material clinical or coverage changes in this revision.
Coverage and Payment Scope
Coverage/payment stance
Payment computation and listed rates for anesthesia procedures
No prior authorization or other authorization instructions are included in this part of the schedule.
Selected reimbursement entries
Reimbursement entries (code → base units → WV Medicaid rate):
CPT/HCPCS Codes, Base Units, and Rates
| 01212 | Anesthesia CPT/HCPCS code with base units and WV Medicaid rate |
| 01634 | Anesthesia CPT/HCPCS code (example) with base units and WV Medicaid rate |
| 01926 | Anesthesia CPT/HCPCS code with base units and WV Medicaid rate |
| 99410-99140 | Misc listed codes including 59409 and 99140 with base units and WV Medicaid rate |
Billing Rules and Provider Instructions
Anesthesia payment calculation
Calculate anesthesia payment as (Base Units + Time Units) × Conversion Factor using WV conversion factor $22.70.
Reimbursement table — authorization note
The schedule lists HCPCS/CPT anesthesia base units and the WV Medicaid rate per code for reimbursement; no prior authorization or other authorization instructions appear in this part.
Key Terms and Values
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.