CPT code 00104: ECT anesthesia2026 Medicare rate & RVUs in Alabama

CMS doesn’t publish a rate for 00104 in Alabama.

Check a contract rate as a % of Medicare · 00104 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 00104 covers

Anesthesia for electroconvulsive therapy (ECT) supports the psychiatrist’s electrical treatment. An anesthesiologist or CRNA typically provides a brief general anesthetic and medication to limit muscle movement while the psychiatrist administers ECT, in an ECT treatment setting. The anesthesia claim represents the anesthesia practitioner’s service, separate from the psychiatrist’s ECT service.

Report 00104 for anesthesia furnished for ECT; 90870 represents the ECT treatment itself. The anesthesia and ECT records should identify the treatment session and link the anesthesia to it, while the anesthesia record supports the timing and the point at which the patient can safely be placed under postoperative care. This code has 4 base units, and Medicare payment is (base units + time units) multiplied by the locality-specific anesthesia conversion factor. Time is reported in minutes and converted to 15-minute units to one decimal place, beginning when the practitioner starts preparing the patient for anesthesia and ending 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.

How Alabama compares for 00104

Every other payment area

00104 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 00104 in every payment locality

How the 00104 rate is calculated

Each of 00104’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.

Payment rules and modifiers for 00104

00104 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.

Codes related to 00104

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 00104 has changed in Alabama

Price 00104 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

• Abanda
• Abbeville
• Adamsville
• Addison
• Akron
• Alabaster
• Albertville
• Alexander City

Browse all communities in Alabama

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