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

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

CMS RVU26DEffective Oct 1, 20262 payment localities137.6K Medicare services in 2024

CMS doesn’t publish an office rate for 00732 in Louisiana.

—Office (non-facility)
—Hospital or facility

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 9 sections
  1. Rate in Louisiana
  2. What 00732 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. 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 in Louisiana

00732 office and facility rates by payment locality
Payment localityOfficeFacility
New Orleans, LAUnavailableUnavailable
Rest of LouisianaUnavailableUnavailable

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.

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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