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CPT code 00732: ERCP anesthesia, endoscopic duct procedure2026 Medicare rate & RVUs

Anesthesia for ERCP covers endoscopic evaluation or treatment of the biliary and pancreatic ducts, including diagnostic and therapeutic duct procedures.

CMS RVU26DEffective Oct 1, 2026109 payment localities137.6K Medicare services in 2024

Medicare rate · 00732

ERCP anesthesia, endoscopic duct 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 00732 →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 00732 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 00732 covers

ERCP anesthesia supports an endoscopist using an upper gastrointestinal endoscope to examine or treat the biliary and pancreatic ducts. Anesthesiologists and CRNAs provide it in hospital and ambulatory settings while the endoscopist performs duct imaging, sampling, stone removal, or stent work.

Choose 00732 for ERCP anesthesia, including biliary or pancreatic duct interventions during that endoscopic session; 00731 is for other upper gastrointestinal endoscopic procedures. Operative documentation should identify ERCP and its interventions, and the anesthesia record should show the anesthesia care and start and end times. This code has 6 base units; Medicare payment is (base units + time units) multiplied by the locality’s anesthesia conversion factor. Anesthesia time runs from when the practitioner begins preparing the patient until the practitioner is no longer in personal attendance and the patient can safely be placed under postoperative care; minutes are converted to 15-minute units to one decimal place.

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 00732 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

00732 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

00732 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
00732 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 00732 rate is calculated

Each of 00732’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 · 00732

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 00732

00732 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 · 00732

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

00732 isn’t priced in this setting.

00732 compared with similar codes

Compare codes · National

00732 vs 00731 vs 00790: Medicare rates

Office or facility?

  • 00732

    ERCP anesthesia, endoscopic duct procedure0 wRVU

    Not priced

  • 00731

    Upper GI endoscopy, non-ERCP procedure0 wRVU

    Not priced

  • 00790

    Upper abdominal anesthesia, intraperitoneal procedures0 wRVU

    Not priced

How to choose

00731Upper GI endoscopyNon-ERCP procedure
00732 is for ERCP anesthesia. 00731 is for anesthesia for other upper gastrointestinal endoscopic procedures.
00790Upper abdominal anesthesiaIntraperitoneal procedures
00732 identifies anesthesia for ERCP; 00790 applies to anesthesia for intraperitoneal upper abdominal procedures rather than an endoscopic duct procedure.

Codes related to 00732

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

Codes related to 00732
CodeHow it relatesNational office range
Same family
00731Upper GI endoscopy, non-ERCP procedureAnesthesia for other upper gastrointestinal endoscopic procedures; ERCP is distinguished under 00732.No office rate
Often billed with
43260ERCP, brushing or washingThe endoscopist's diagnostic ERCP service may be reported with anesthesia for a diagnostic ERCP.No office rate
43264ERCP extraction, duct stones or debrisThe endoscopist may report duct stone removal with anesthesia for the ERCP encounter.No office rate
43274ERCP stenting, biliary or pancreatic ductThe endoscopist may report duct stent placement with anesthesia for the ERCP encounter.No office rate

00732 billing questions

When should I choose 00732 instead of 00731?

Use 00732 for ERCP anesthesia. Use 00731 for anesthesia for other upper gastrointestinal endoscopic procedures.

Does each ERCP treatment maneuver need a separate anesthesia code?

No. Duct maneuvers performed during the same ERCP anesthesia session, such as evaluation and treatment, are covered by the anesthesia service for that encounter.

What documentation supports reporting 00732?

The operative report should establish that the procedure was ERCP and identify its interventions. The anesthesia record should support the anesthesia care and its start and end times.

How are anesthesia time units calculated?

Time is reported in minutes and converted to 15-minute units rounded to one decimal place. For example, 38 minutes equals 2.5 time units.

How does Medicare pay when an anesthesiologist medically directs a CRNA?

Medicare pays each practitioner 50% of the allowance for the personally performed service when medical direction applies.

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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