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CPT code 00731: Upper GI endoscopy, non-ERCP procedure2026 Medicare rate & RVUs

Anesthesia for upper gastrointestinal endoscopy, including diagnostic and therapeutic examinations of the esophagus, stomach, and proximal duodenum, when ERCP is not performed.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.4M Medicare services in 2024

Medicare rate · 00731

Upper GI endoscopy, non-ERCP procedure

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 00731 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 00731 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 00731 covers

This code covers anesthesia for upper gastrointestinal endoscopy when the scope passes through the mouth to examine the esophagus, stomach, or proximal duodenum. Typical cases include diagnostic or therapeutic EGD, with work such as mucosal biopsy, bleeding control, or dilation during the endoscopic session. Gastroenterologists and other qualified endoscopists perform the procedure; an anesthesiologist or CRNA reports the anesthesia service in hospital endoscopy units and ambulatory endoscopy centers.

Use 00731 for upper GI endoscopy other than ERCP; ERCP anesthesia is reported with 00732. When upper and lower endoscopy are performed in the same session, compare 00813 rather than treating the session as upper endoscopy alone. The endoscopy report should identify the procedure and scope extent, while the anesthesia record should support the service and show anesthesia start and stop times and the practitioner’s attendance. Medicare assigns 5 base units. Payment is (5 base units + time units) × the anesthesia conversion factor, which varies by locality; time is reported in minutes and converted to 15-minute units to one decimal, starting when the anesthesia practitioner begins 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.

Where 00731 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

00731 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

00731 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
00731 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 00731 rate is calculated

Each of 00731’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.

How the rate is built · 00731

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 00731

00731 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.

Place of service · 00731

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

00731 isn’t priced in this setting.

00731 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 00731

    Upper GI endoscopy, non-ERCP procedure0 wRVU

    Not priced

  • 00732

    ERCP anesthesia, endoscopic duct procedure0 wRVU

    Not priced

  • 00811

    Lower GI endoscopy, diagnostic or therapeutic0 wRVU

    Not priced

  • 00812

    Colonoscopy anesthesia, screening colonoscopy0 wRVU

    Not priced

  • 00813

    Combined GI anesthesia, upper and lower endoscopy0 wRVU

    Not priced

How to choose

00732ERCP anesthesiaEndoscopic duct procedure
00731 covers upper GI endoscopy other than ERCP. Select 00732 when the anesthetized procedure is ERCP.
00811Lower GI endoscopyDiagnostic or therapeutic
00811 is for lower GI endoscopy. Use 00731 when the scope examines the esophagus, stomach, or proximal duodenum.
00812Colonoscopy anesthesiaScreening colonoscopy
00812 is specific to anesthesia for screening colonoscopy; 00731 is for non-ERCP upper GI endoscopy.
00813Combined GI anesthesiaUpper and lower endoscopy
00813 is for a session combining upper and lower GI endoscopy. Use 00731 when the session involves upper GI endoscopy alone.

Codes related to 00731

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

Codes related to 00731
CodeHow it relatesNational office range
Used instead
00732ERCP anesthesia, endoscopic duct procedureUse for anesthesia for ERCP rather than other upper GI endoscopic procedures.No office rate
00811Lower GI endoscopy, diagnostic or therapeuticApplies to anesthesia for lower GI endoscopy without an upper GI procedure.No office rate
00812Colonoscopy anesthesia, screening colonoscopyApplies to anesthesia for screening colonoscopy.No office rate
00813Combined GI anesthesia, upper and lower endoscopyApplies when upper and lower GI endoscopic procedures are performed in the same session.No office rate

00731 billing questions

When should 00731 be used instead of 00732?

Use 00731 for upper GI endoscopy other than ERCP. ERCP has its own anesthesia code, 00732.

What if upper and lower endoscopy are performed in one session?

Compare 00813, the anesthesia code for combined upper and lower GI endoscopic procedures, rather than reporting 00731 as though only upper endoscopy occurred.

What records support reporting 00731?

The endoscopy report should identify the upper GI procedure and scope extent. The anesthesia record should support the anesthesia service and document its start and stop times and the practitioner’s attendance.

How does Medicare calculate anesthesia units for 00731?

The code has 5 base units. Medicare adds time units and multiplies the total by the anesthesia conversion factor for the payment locality.

Is the endoscopist’s procedure reported separately from 00731?

The endoscopist reports the endoscopic procedure, while the anesthesia professional reports the anesthesia service. The anesthesia code represents anesthesia for the upper GI endoscopy, not the endoscopic work itself.

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

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